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See a sample rate comparisonCPT 90707 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.
Mmr Vaccine Solution, The Mmr Solution Is A Live Vaccine Containing Measles Mumps And Rubella (German Measles). It Is Given To Protect Against Infection.
| 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 90707 |
| Medicaid Fee Schedule | $95.20 median of the 8 states in the free preview · View Medicaid rates for 90707 |
National average reimbursement for CPT 90707 by major payers:
$99.20
$103.90
$109.46
$307.14
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CPT 90707
5 of 25 sample ratesHigher to lower in this preview
Theodore Ende
Hackensack Meridian Health Medical Group - Primary Care PC
$140.61Published rateGeetha Srinivasan
Princeton Physicians Group, P.C.
$112.16Published rateRengaswamy Asokan
Medical Associates Of Englewood PC
$95.19Published rateJames Chan
Valley Physician Services PC
$93.84Published rateFamily First Primary Physicians LLC
$85.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90707 vs. Other Vaccines, Toxoids Codes
The CPT 90707 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 90707 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 |
|---|---|---|
| 90644-CPT | Low | Meningococcal Conjugate Vaccine Serogroups C & Y And Haemophilus Influenzae B Vaccine (Hib-Mency) 4 Dose Schedule When Administered To Children 6 Weeks-18 Months Of Age For Intramuscular Use (Description Revised 1/1/2016) |
| 90702-CPT | Low | Diphtheria And Tetanus Toxoids, Diphtheria And Tetanus Toxoids Adsorbed (Dt) When Administered To Individuals Younger Than 7 Years For Intramuscular Use |
| 90707-CPT | Low | Mmr Vaccine Solution, The Mmr Solution Is A Live Vaccine Containing Measles Mumps And Rubella (German Measles). It Is Given To Protect Against Infection. |
| 90710-CPT | Moderate | Mmrv Vaccine Solution, The Mmrv Is A Live Vaccine Solution Containing Measles Mumps Rubella (German Measles) And Varicella (Chickenpox). The Vaccine Is Given To Protect Against Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90707. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90707 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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