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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | JZ - Zero drug amount discarded/not administered to any patient JW - Drug amount discarded/not administered to any patient |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $276.04 per billing unit (October 2026 ASP) · View Medicare rates for 90375 |
| Medicaid Fee Schedule | $281.185 median of the 8 states in the free preview · View Medicaid rates for 90375 |
National average reimbursement for CPT 90375 by major payers:

$314.04

$429.19

$339.43

$358.48
Choose a payer to see a sample of rates for CPT 90375.
Baycare Home Care, Inc.
Baycare Home Care Inc
Jenifer Lloyd
The Board Of Trustees Of The University Of Illinois
Bluesky Telepsych
Claudine Sinsioco
Inova Health Care Services
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 90375 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90375 code is part of the Medicine Services and Procedures services used for Immune Globulins, Serum or Recombinant Products. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90375 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90287-CPT | Low | Botulism Treatment, Treatment For Botulism An Illness Caused By Clostridium Botulinum Bacteria. |
| 90375-CPT | Moderate | Rabies Prevention Medication, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Rabies Infection Following Exposure To Rabies. |
| 90376-CPT | Moderate | Rabies Prevention Medication, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Rabies Infection Following Exposure To Rabies. |
| 90377-CPT | Moderate | Rabies Immune Globulin Heat & Solvent/Detergent-Tr, Rabies Immune Globulin Heat- And Solvent/Detergent-Treated (Rig-Ht S/D) Human For Intramuscular And/Or Subcutaneous Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90375. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90375 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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