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See a sample rate comparisonCPT 90673 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.
Influenza Virus Vaccine Triva, Influenza Virus Vaccine Trivalent (Riv3) Derivedfrom Recombinant Dna (Riv3) Hemagglutinin (Ha) P Rotein Only Preservative And Antibiotic Free Forintramuscular Use
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | UD JZ - Zero drug amount discarded/not administered to any patient |
| Complexity Level | Low |
| Medicare Fee Schedule | $122.52 per 1 dose (October 2026 ASP) · View Medicare rates for 90673 |
| Medicaid Fee Schedule | $91.50 median of the 8 states in the free preview · View Medicaid rates for 90673 |
National average reimbursement for CPT 90673 by major payers:
$84.54
$90.12
$91.05
$77.05
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CPT 90673
5 of 25 sample ratesHigher to lower in this preview
Yohannes Alemu
UPMC
$152.63Published rateSusan Lee
Coordinated Health Of Greater New Jersey LLC
$92.12Published rateNishant Parikh
Kennedy Medical Group Practice PC
$83.48Published rateAyesha Ahmed
Kidney Care Of Morris County
$83.48Published rateShyunti Das
Das Medical Associates, PC
$70.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90673 vs. Other Vaccines, Toxoids Codes
The CPT 90673 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 90673 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 |
|---|---|---|
| 90653-CPT | Low | Influenza Vaccine Inactivated (Iiv) Subunit Adjuvanted For Intramuscular Use (Desc Revised 7/1/2015) Second Or Third Opinion Comprehensive Consult (Old Description -Deleted 3/31/2003) |
| 90673-CPT | Low | Influenza Virus Vaccine Triva, Influenza Virus Vaccine Trivalent (Riv3) Derivedfrom Recombinant Dna (Riv3) Hemagglutinin (Ha) P Rotein Only Preservative And Antibiotic Free Forintramuscular Use |
| 90674-CPT | Low | Cciiv4 Vac No Prsv 0 5 Ml Im, Influenza Virus Vaccine Quadrivalent Cciiv4 Derived From Cell Cultures Subunit Preservative And Antibiotic Free 0 5 Ml Dosage For Intramuscular Use |
| 90675-CPT | Moderate | Rabies Vaccine Solution, Rabies Vaccine. The Shot Is Given To Prevent Rabies A Virus That Is Spread By The Bite Of Infected Animals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90673. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90673 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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