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See a sample rate comparisonCPT 90759 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | SA JZ - Zero drug amount discarded/not administered to any patient |
| Complexity Level | Low |
| Medicare Fee Schedule | $73.82 per 1 dose (January 2026 ASP) · View Medicare rates for 90759 |
| Medicaid Fee Schedule | $73.82 median of the 8 states in the free preview · View Medicaid rates for 90759 |
National average reimbursement for CPT 90759 by major payers:
$73.02
$73.60
$81.43
$102.67
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CPT 90759
5 of 25 sample ratesHigher to lower in this preview
Baycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$96.41Published rateDouglas Nordli
Pediatric Faculty Foundation In
$77.29Published rateReid Alley
Riverside Health System
$73.36Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$66.68Published rateLeon Home Health, LLC, Leon At Home
$65.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90759 vs. Other Vaccines, Toxoids Codes
The CPT 90759 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 90759 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. |
| 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. |
| 90759-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90759. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90759 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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