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See a sample rate comparisonCPT 90634 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.
Hepatitis A Vaccine Solution, A Solution Of Hepatitis A Prepared For A Vaccination. The Vaccine May Be Given In A Series Of Two To Three Shots.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center 72 - Rural Health Clinic |
| Common Modifiers | SL 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90634 |
| Medicaid Fee Schedule | $26.43 median of the 8 states in the free preview · View Medicaid rates for 90634 |
National average reimbursement for CPT 90634 by major payers:
$40.30
$26.12
$34.41
$30.70
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CPT 90634
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$39.77Published rateKapil Aedma
Swope Health Services
$28.64Published rateSyed Khan
$26.87Published rateKalyani Gavini
Southern Illinois Healthcare Foundation Inc
$24.28Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$9.71Published rate
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See a sample payer proposalCPT 90634 vs. Other Vaccines, Toxoids Codes
The CPT 90634 code is part of the Medicine Services and Procedures services used for Vaccines, Toxoids. 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 90634 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 |
|---|---|---|
| 90633-CPT | Low | Hepatitis A Vaccine Solution, A Solution Of Hepatitis A Prepared For A Vaccination. The Vaccine May Be Given In A Series Of Two To Three Shots. |
| 90634-CPT | Low | Hepatitis A Vaccine Solution, A Solution Of Hepatitis A Prepared For A Vaccination. The Vaccine May Be Given In A Series Of Two To Three Shots. |
| 90636-CPT | Low | Hepatitis Ab Vaccine Solution, Combined Hepatitis A And B Vaccine Solution For Adult Injection (Shot). The Vaccine Provides Protection Against Hepatitis A And B Infections. |
| 90647-CPT | Low | Hemophilus Influenza B Vaccine, Hib (Haemophilus Influenza B) Vaccine Solution. Hib Is A Bacteria That Can Cause Serious Infections (Such As Pneumonia Or Meningitis) For Infants And Children. The Vaccine Is Given As A Series Of Three To Four Shots. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90634. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90634 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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