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See a sample rate comparisonCPT 90393 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.
Smallpox Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Virus That Causes Smallpox.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility 50 - Federally Qualified Health Center |
| Common Modifiers | 25 - Significant, separately identifiable E/M service same day 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90393 |
| Medicaid Fee Schedule | $6.45 median of the 2 states in the free preview · View Medicaid rates for 90393 |
National average reimbursement for CPT 90393 by major payers:
$40.00
$55.00
$66.00
$458.60
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CPT 90393
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateRestorative Health Rehabilitation Inc
$40.00Published rateDa Pediatric Rehabilitation
$35.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$34.30Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$34.30Published rate
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See a sample payer proposalCPT 90393 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90393 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 90393 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 |
|---|---|---|
| 90296-CPT | Low | Diphtheria Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Diphtheria Infection Which Affects The Nose And The Throat And Can Lead To Difficulty Breathing. |
| 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. |
| 90396-CPT | High | Solution To Prevent Chickenpox, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Virus That Causes Chickenpox. This Solution Is Given By Shot. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90393. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90393 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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