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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 JG - Drug or biological acquired with 340B drug pricing program discount, reported for informational purposes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90376 |
| Medicaid Fee Schedule | $444.835 median of the 8 states in the free preview · View Medicaid rates for 90376 |
National average reimbursement for CPT 90376 by major payers:

$441.06

$504.41

$494.63

$504.50
Choose a payer to see a sample of rates for CPT 90376.
Nitin Patel
Siu Physicians & Surgeons Inc
Perry Tsai
The Board Of Trustees Of The University Of Illinois
Christopher Raio
St Joseph Hospital
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
All Ways Homecare Inc
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Rate Benchmarking
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See a sample payer proposalCPT 90376 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90376 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 90376 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 |
|---|---|---|
| 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 |
| 90378-CPT | High | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90376 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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