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See a sample rate comparisonCPT 90636 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 Ab Vaccine Solution, Combined Hepatitis A And B Vaccine Solution For Adult Injection (Shot). The Vaccine Provides Protection Against Hepatitis A And B Infections.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | SK PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90636 |
| Medicaid Fee Schedule | $127.625 median of the 8 states in the free preview · View Medicaid rates for 90636 |
National average reimbursement for CPT 90636 by major payers:
$123.02
$140.97
$144.41
$141.30
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CPT 90636
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$247.58Published rateGhouse Mohiuddin
$166.25Published rateProgressive Medical Center Sc
Progressive Medical Center, S.C.
$151.13Published rateNancy Schell
Patient First Inc
$126.19Published rateJohn Millichap
Grady Memorial Hospital Corporation
$107.26Published rate
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See a sample payer proposalCPT 90636 vs. Other Vaccines, Toxoids Codes
The CPT 90636 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 90636 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. |
| 90700-CPT | Low | Dtap Vaccine Solution, A Dtap Solution Prepared For Vaccination Of A Child Up To Age 7. The Solution Is Intended To Protect Against Diphtheria Tetanus And Whooping Cough (Pertussis). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90636. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90636 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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