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CPT 90389 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.

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.
Key FactDetail
Service Type

Medicine Services and Procedures

Immune Globulins, Serum or Recombinant Products

Common Place of Service

11 - Office

20 - Urgent Care Facility

Common Modifiers

SL

UD

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 90389
Medicaid Fee Schedule$368.41 median of the 8 states in the free preview · View Medicaid rates for 90389

National average reimbursement for CPT 90389 by major payers:

bcbs

$596.48

uhc

$738.47

aetna

$694.77

cigna

$690.98

Compare published rates across providers.

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CPT 90389
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $1,551.86Published rate
  2. Kristin Rosseau

    University Of Chicago

    COPsychiatry PhysicianNPI 1093243149Tax ID 36-2177139

    $802.38Published rate
  3. Shannon Jennings

    Ottawa Regional Hospital & Healthcare Center

    COPsychiatry PhysicianNPI 1285715847Tax ID 36-2604009

    $768.95Published rate
  4. Mark Alter

    CAChild & Adolescent Psychiatry PhysicianNPI 1730263617Tax ID 91-0844563

    $668.65Published rate
  5. John Millichap

    Grady Memorial Hospital Corporation

    CONeurology with Special Qualifications in Child Neurology PhysicianNPI 1225211600Tax ID 26-2037695

    $568.34Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 90389 vs. Other Immune Globulins, Serum or Recombinant Products Codes

The CPT 90389 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 90389 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.

CodeComplexityDescription
90288-CPTHighBotulism Immune Globulin Human Intraveno Use, Botulism Immune Globulin Human For Intravenous Use
90384-CPTLowPreventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types.
90386-CPTLowPreventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types.
90389-CPTModerateTetanus 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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90389. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 90389 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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