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See a sample rate comparisonCPT 90746 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 B Vaccine (Hepb) Adult Dosage 3 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2015) Note: The Age Was Updated To Reflect The Manufacturers Age Allowance.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | UD SL |
| Complexity Level | Low |
| Medicare Fee Schedule | $75.15 per 1 dose (October 2026 ASP) · View Medicare rates for 90746 |
| Medicaid Fee Schedule | $74.695 median of the 8 states in the free preview · View Medicaid rates for 90746 |
National average reimbursement for CPT 90746 by major payers:
$70.81
$77.32
$84.43
$77.98
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CPT 90746
5 of 25 sample ratesHigher to lower in this preview
Kathy Kerr
$71.09Published rateHiten Amin
$71.09Published rateGabrielle Gerbino
$69.26Published rateBhavna Verma
$62.33Published rateLiviu Crisan
$62.33Published rate
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See a sample payer proposalCPT 90746 vs. Other Vaccines, Toxoids Codes
The CPT 90746 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 90746 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 |
|---|---|---|
| 90739-CPT | Low | Hepatitis B Vaccine Solution, Hepatitis B Vaccine Solution. The Vaccine May Be Given In A Series Of Shots And Provides Protection Against Infection With The Hepatitis B Virus. |
| 90740-CPT | Low | Hepatitis B Vaccine Solution, Hepatitis B Vaccine Solution. The Vaccine May Be Given In A Series Of Shots And Provides Protection Against Infection With The Hepatitis B Virus. |
| 90746-CPT | Low | Hepatitis B Vaccine (Hepb) Adult Dosage 3 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2015) Note: The Age Was Updated To Reflect The Manufacturers Age Allowance. |
| 90748-CPT | Low | Hepb-Hib Vaccine Solution, Hepatitis B And Hib Combined Vaccine Solution. The Vaccine Provides Protection Against Infection By The Hepatitis B Virus And The Hib (Haemophilus Influenza B) Bacterial Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90746 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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