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See a sample rate comparisonCPT 90700 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.
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).
| 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 EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90700 |
| Medicaid Fee Schedule | $23.56 median of the 7 states in the free preview · View Medicaid rates for 90700 |
National average reimbursement for CPT 90700 by major payers:
$31.81
$32.76
$34.78
$32.61
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CPT 90700
5 of 25 sample ratesHigher to lower in this preview
Nitin Patel
Southern Illinois Medical Services Nfp
$50.86Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$38.68Published rateAmber Kazi
Presence Healthcare Services
$32.77Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$31.20Published rateSophia Kecala
Kecala Kecala Sc
$24.00Published rate
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See a sample payer proposalCPT 90700 vs. Other Vaccines, Toxoids Codes
The CPT 90700 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 90700 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 |
|---|---|---|
| 90696-CPT | Low | Diphtheria Tetanus Toxoids A, Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine And Poliovirus Vaccine Inactivated (Dtap-Ipv) When Administered To Children 4 Years Through6 Years Of Age For Intramuscular Use |
| 90697-CPT | Low | Dtap Ipv Hib Hepb Vaccine Im, Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine Inactivated Poliovirus Vaccine Haemophilus Influenzae Type B Prp Omp Conjugate Vaccine And Hepatitis B Vaccine Dtap Ipv Hib Hepb For Intramuscular Use |
| 90698-CPT | Low | Diphtheria Tetanus Toxoids A, Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine Inactivated Poliovirus Vaccine Haemophilus Influenzae Type B Prp-Omp Conjugate Vaccine Andhepatitis B Vaccine (Dtap-Ipv-Hib-Hepb) For Intr |
| 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 90700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90700 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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