CPT 90378 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 • None |
| Common Modifiers | • None • UD • JZ - Zero drug amount discarded/not administered to any patient |
| Complexity Level | High |
National average reimbursement for CPT 90378 by major payers:
$1,639.35
$2,061.95
$2,013.18
$2,012.81
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90378 | ||||||
United | 90378 | $2083.43 | 1881918415 - TUSHAR ADVANI | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | MT | Psychiatry Physician (2084P0800X) |
United | 90378 | $1875.28 | 1326077058 - MICHAEL MANSOUR | 640911702 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $1875.28 | 1912282948 - IMRAN KHALIL | 272239880 - (AL) WIREGRASS CLINIC LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $2494.12 | 1063770048 - BARAN AKSUT | 274758285 | CO | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $2250.34 | 1982668828 - DARRYL PRIME | 631102774 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $1875.28 | 1992948046 - JACQUELINE GREEN | 812971996 - (AL) HH HEART CENTER LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $2156.57 | 1225211600 - JOHN MILLICHAP | 260899565 - MERCY SPECIALTY CLINIC | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90378 | $2123.77 | 1851471122 - NASSER LAKKIS | 834257679 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $2023.43 | 1902947542 - DECATUR GENERAL HOSPITAL, DECATUR HEART AND VASCULAR | 636000260 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $1875.28 | 1912282948 - IMRAN KHALIL | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90378 | $1875.28 | 1962664789 - JAMIE EVANS | 910844563 | WI | Psychiatry Physician (2084P0800X) |
United | 90378 | $2100.31 | 1508986308 - COREY GOLDSTEIN | 911780160 | IL | Psychiatry Physician (2084P0800X) |
United | 90378 | $1875.28 | 1760412621 - RHONDA LAMPEN | 910844563 | CA | Psychiatry Physician (2084P0800X) |
United | 90378 | $2507.12 | 1447372842 - GEOFFREY LEVIN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90378 | $2507.12 | 1811068554 - JAMES MACKENZIE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 90378 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90378 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 90378 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 |
|---|---|---|
| 90376 | Moderate | Rabies Immune Globulin Heat-Treated Human For Intramuscular And/Or Subcutaneous Use |
| 90377 | Moderate | Rabies Immune Globulin Heat- And Solvent/ Detergent-Treated (Rig-Ht S/D) Human For Intramuscular And/Or Subcutaneous Use |
| 90378 | High | Respiratory Syncytial Virus Immune Globulin (Rsv-Igim) For Intramuscular Use 50 Mg Each |
| 90380 | Moderate | Respiratory Syncytial Virus, Monoclonal Antibody, Seasonal Dose; 0.5 Ml Dosage, For Intramuscular Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90378. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90378 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 90378) and we'll show you how you compare in 15 minutes or less.
Medicare Reimbursement Lookup Tool
PayerPrice provides a free medicare lookup tool for physician fee schedule, drug ASP, MS-DRG weights, anesthesia conversion factors and other medicare related data.