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See a sample rate comparisonCPT 90667 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.
Nfluenza Virus Vacc (Iiv) Pandemic Fformulat Split Virus Adju, Influenza Virus Vaccine (Iiv) Pandemic Formulation Split Virus Adju
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | SL 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90667 |
| Medicaid Fee Schedule | $9.32 median of the 2 states in the free preview · View Medicaid rates for 90667 |
National average reimbursement for CPT 90667 by major payers:
$35.41
$26.00
$400.34
$3,652.71
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CPT 90667
1 of 1 sample ratesHigher to lower in this preview
Ram Balasubramanian
$68.73Published rate
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See a sample payer proposalCPT 90667 vs. Other Vaccines, Toxoids Codes
The CPT 90667 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 90667 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 |
|---|---|---|
| 90664-CPT | Low | Nfluenza Virus Vacc Live (Laiv) Pandemic Fformulat For Intran, Influenza Virus Vaccine Live (Laiv) Pandemic Formulation For Intran |
| 90666-CPT | Low | Flu Vac Pandem Prsrv Free Im, Influenza Virus Vaccine Iiv Pandemic Formulation Split Virus Preservative Free For Intramuscular Use |
| 90667-CPT | Low | Nfluenza Virus Vacc (Iiv) Pandemic Fformulat Split Virus Adju, Influenza Virus Vaccine (Iiv) Pandemic Formulation Split Virus Adju |
| 90668-CPT | Low | Nfluenza Virus Vacc (Iiv) Pandemic Fformulat Split Virus For, Influenza Virus Vaccine (Iiv) Pandemic Formulation Split Virus For |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90667 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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