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See a sample rate comparisonCPT 90381 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | SL EP - Residential facility to Physician's office |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90381 |
| Medicaid Fee Schedule | $495.00 median of the 7 states in the free preview · View Medicaid rates for 90381 |
National average reimbursement for CPT 90381 by major payers:
$486.26
$582.58
$610.48
$599.09
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CPT 90381
5 of 25 sample ratesHigher to lower in this preview
Nitin Patel
Siu Physicians & Surgeons Inc
$1,247.40Published rateAliya Hafeez
Advocate Health And Hospitals Corporation
$608.33Published rateSonya Mohan
$582.11Published ratePaul Berkowitz
Brightside Medical
$571.72Published rateJessica Ortega
Town Center Orthopaedic Associates, P.C.
$495.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90381 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90381 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 90381 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 |
|---|---|---|
| 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. |
| 90380-CPT | Moderate | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
| 90381-CPT | Moderate | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
| 90384-CPT | Low | Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90381. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90381 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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