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See a sample rate comparisonCPT 91322 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.
Severe Acute Respiratory Syndr, Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) Vaccine Mrna-Lnp 50 Mcg0.5 Ml Dosage For Intramuscullar Use
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Gastroenterology Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $172.97 per 1 dose (October 2026 ASP) · View Medicare rates for 91322 |
| Medicaid Fee Schedule | $157.61 median of the 8 states in the free preview · View Medicaid rates for 91322 |
National average reimbursement for CPT 91322 by major payers:
$156.29
$159.57
$232.96
$188.84
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CPT 91322
5 of 25 sample ratesHigher to lower in this preview
Imran Khalil
Cardiology Associates, P.A.
$232.02Published rateJames Trimm
Birmingham Heart Clinic, PC
$160.22Published rateJuan Bernal
$141.80Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$128.00Published rateAlabama Heart & Vascular, P. C.
Alabama Heart And Vascular, P.C.
$127.62Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 91322 vs. Other Gastroenterology Procedures Codes
The CPT 91322 code is part of the Medicine Services and Procedures services used for Gastroenterology Procedures. 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 91322 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 |
|---|---|---|
| 91322-CPT | Low | Severe Acute Respiratory Syndr, Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) Vaccine Mrna-Lnp 50 Mcg0.5 Ml Dosage For Intramuscullar Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 91322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 91322 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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