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See a sample rate comparisonCPT 90756 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 Quadr, Influenza Virus Vaccine Quadrivalent (Cciiv4) Derived From Cell Cultures Subunit Antibiotic Free 0.5ml Dosage For Intramuscular Use Nterpretation And Report Tery Disease Data Preparation And Transmission A
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | 59 - Distinct Procedural Service SL |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90756 |
| Medicaid Fee Schedule | $29.51 median of the 8 states in the free preview · View Medicaid rates for 90756 |
National average reimbursement for CPT 90756 by major payers:
$33.94
$36.46
$34.52
$43.04
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CPT 90756
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$62.74Published rateAndrew Kulik
Saint Anthony Health Affiliates
$38.20Published rateMalik Nassan
Head & Neck And Cosmetic Surgery Associates, LLC
$36.63Published rateLeon Home Health, LLC, Leon At Home
$32.36Published rateImran Khalil
Wiregrass Clinic LLC
$28.52Published rate
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See a sample payer proposalCPT 90756 vs. Other Vaccines, Toxoids Codes
The CPT 90756 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 90756 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 |
|---|---|---|
| 90717-CPT | Low | Immunization, Active; Yellow Fever |
| 90732-CPT | Low | Ppsv23 Vacc 2 Yrs Subq Im, Pneumococcal Polysaccharide Vaccine 23 Valent Ppsv23 Adult Or Immunosuppressed Patient Dosage When Administered To Individuals 2 Years Or Older For Subcutaneous Or Intramuscular Use |
| 90733-CPT | Low | Meningitis Vaccine Solution, Meningococcal Vaccine Solution. The Vaccine Is Given To Prevent Infection With The Meningococcus Bacteria Which Can Cause Meningitis (Infection In The Tissue Surrounding The Brain) And Other Serious Infections. |
| 90756-CPT | Low | Influenza Virus Vaccine Quadr, Influenza Virus Vaccine Quadrivalent (Cciiv4) Derived From Cell Cultures Subunit Antibiotic Free 0.5ml Dosage For Intramuscular Use Nterpretation And Report Tery Disease Data Preparation And Transmission A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90756. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90756 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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