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CPT 90389 Fee Schedule

Last Verified: January 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 Immune Globulin Human For Intramuscular Use
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

None

SL

UD

Complexity LevelModerate

National average reimbursement for CPT 90389 by major payers:

bcbs

$596.48

uhc

$738.47

aetna

$694.77

cigna

$704.74

Preview provider-level rates for...
For billing codeCPT 90389
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 90389

United
90389$779.001225211600 - JOHN MILLICHAP753186720NCNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$748.891851558001 - LUBOV ROMANTSEVA911780120 - (IL) RUSH UNIVERSITY MEDICAL CENTERILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$802.381164410502 - ALAN FELTHOUS430654872 - ST LOUIS UNIVERSITYILPsychiatry Physician (2084P0800X)
United
90389$649.171255478004 - CHRISTOPHER RAIO113438973 - ST JOSEPH HOSPITALNYEmergency Medicine Physician (207P00000X)
United
90389$568.341225211600 - JOHN MILLICHAP262037695 - GRADY MEMORIAL HOSPITAL CORPORATIONCONeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$668.651174859284 - MATTHEW NIEDZWIECKI811324691RIPsychiatry Physician (2084P0800X)
United
90389$668.651730263617 - MARK ALTER910844563CAChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$584.251255478004 - CHRISTOPHER RAIO111635088 - MERCY MEDICAL CENTERNYEmergency Medicine Physician (207P00000X)
United
90389$876.401952795254 - MALCOLM VANDREVALA362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONILChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$802.381093243149 - KRISTIN ROSSEAU362177139 - UNIVERSITY OF CHICAGOCOPsychiatry Physician (2084P0800X)
United
90389$1248.591790936540 - SRISHTI NANGIA131623978ILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$789.011083622955 - ALMA BICKNESE363279680 - (IL) PEDIATRIC FACULTY FOUNDATION INILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$584.251255478004 - CHRISTOPHER RAIO113438973 - ST JOSEPH HOSPITALNYEmergency Medicine Physician (207P00000X)
United
90389$668.651619123114 - MARGARET MICHELSON363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATESILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$768.951225211600 - JOHN MILLICHAP731310891 - WARREN CLINIC INCCONeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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, For Intravenous Use
90384-CPTLowRho(D) Immune Globulin Human Full-Dose For Intramuscular Use
90386-CPTLowRho(D) Immune Globulin Human For Intravenous Use
90389-CPTModerateTetanus Immune Globulin Human 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 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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