CPT 90393
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Vaccina ig im
Low
$0
Average
$44
Median
$51
High
$51
Filter by billing methodology
Filter by billing class
12 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Memorial Healthcare Owosso, MI fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 10 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 11 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Paul Oliver Memorial Hospital Frankfort, MI facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
← Payers reporting CPT 90393 · Snapshot 20261113T090226Z-3ce6c0b8