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See a sample rate comparisonHCPCS Q2036 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, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Influenza Virus Vaccines |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q2036 |
National average reimbursement for HCPCS Q2036 by major payers:
$12.12
$20.10
$11.09
$8.89
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HCPCS Q2036
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$48.88Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$32.43Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$21.20Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$18.77Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$8.58Published rate
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See a sample payer proposalHCPCS Q2036 vs. Other Influenza Virus Vaccines Codes
The HCPCS Q2036 code is part of the Temporary Codes services used for Influenza Virus Vaccines. 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 HCPCS Q2036 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 |
|---|---|---|
| Q2035-HCPCS | Low | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Afluria) |
| Q2036-HCPCS | Low | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval) |
| Q2037-HCPCS | Low | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluvirin) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q2036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q2036 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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