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See a sample rate comparisonCPT 90386 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.
Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types.
| 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 10 - Telehealth in Patient's Home 21 - Inpatient Hospital 71 - Public Health Clinic |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems EP - Residential facility to Physician's office 25 - Significant, separately identifiable E/M service same day |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90386 |
| Medicaid Fee Schedule | $62.66 median of the 6 states in the free preview · View Medicaid rates for 90386 |
National average reimbursement for CPT 90386 by major payers:
$22.14
$156.94
$14.87
$19.05
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CPT 90386
5 of 25 sample ratesHigher to lower in this preview
Srishti Nangia
$979.09Published rateJanice Kowalski
Edward Health Ventures
$12.01Published rateJeremiah Brewer
$11.31Published rateBeth Ledvora
Beth Ledvora M.D., S.C.
$10.76Published rateGabrielle Pham-Che
Town Center Orthopaedic Associates, P.C.
$9.72Published rate
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See a sample payer proposalCPT 90386 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90386 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 90386 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 |
|---|---|---|
| 90385-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. |
| 90386-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. |
| 90389-CPT | Moderate | Tetanus Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Bacteria That Causes Tetanus (Lockjaw) A Disease That Affects The Muscles And The Nerves. |
| 90393-CPT | Low | Smallpox Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Virus That Causes Smallpox. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90386. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90386 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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