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CPT 90389 Fee Schedule

Last Verified: November 2025

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$789.011922328426 - MAJED DALLOUL364340137 - (IL) SAINT ANTHONY HEALTH AFFILIATESILPsychiatry Physician (2084P0800X)
United
90389$742.861710206545 - NEIL JARIWALA364015560 - LOYOLA UNIVERSITY MEDICAL CENTERINPsychiatry Physician (2084P0800X)
United
90389$668.651174859284 - MATTHEW NIEDZWIECKI910844563CAPsychiatry Physician (2084P0800X)
United
90389$668.651730263617 - MARK ALTER910844563CAChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$789.011972063501 - PALOMA REINOSO376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOISILChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$802.381679739395 - BETSY OSTRANDER810232122 - BENEFIS HOSPITALS INCILChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$1418.011760502058 - P. DANIEL LE GRANGE943281673ILChild & Adolescent Psychiatry Physician (2084P0804X)
United
90389$801.711942278973 - SANJAY NIGAM370792770 - (IL) HSHS HOLY FAMILY HOSPITAL INCILPsychiatry Physician (2084P0800X)
United
90389$830.461194049676 - TRACY BINIUS205996177ILPsychiatry Physician (2084P0800X)
United
90389$748.891649610239 - MICHAEL BYRNE911780160ILPsychiatry Physician (2084P0800X)
United
90389$755.571093164238 - MARTIN GREENWALD363149833 - NORTHWESTERN MEMORIAL HEALTHCAREILPsychiatry Physician (2084P0800X)
United
90389$742.861245252303 - MARY FAHRMEIER364015560 - LOYOLA UNIVERSITY MEDICAL CENTERVAPsychiatry Physician (2084P0800X)
United
90389$742.861326579756 - TONY TU364015560 - LOYOLA UNIVERSITY MEDICAL CENTERILPsychiatry Physician (2084P0800X)
United
90389$802.381144267865 - NITIN PATEL462706345MONeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
90389$759.801164786836 - REBECCA GILFILLAN362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONILPsychiatry Physician (2084P0800X)
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
90288HighBotulism Immune Globulin, Human, For Intravenous Use
90384LowRho(D) Immune Globulin Human Full-Dose For Intramuscular Use
90386LowRho(D) Immune Globulin Human For Intravenous Use
90389ModerateTetanus 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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