CPT 90653: what Medicare pays in 2026
Vaccine or immunization
Medicare's Part B payment limit for 90653 from October 1 to December 31, 2026 is $122.522 per billing unit of 0.5 ML. Check the number of units on your bill: drug lines are billed in these units.
CPT descriptions are copyrighted by the American Medical Association, so this page shows the code number only. The description printed on your bill, or the provider, will tell you what the code covers.
Medicare amounts for 90653 in 2026
- Hospital outpatient status L
- vaccine paid at reasonable cost
- Part B drug payment limit per 0.5 ML
- $122.522
What providers charged Medicare for 90653 in 2024
From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.
| Setting | Units billed | Average charge | Medicare allowed | Charge vs allowed |
|---|---|---|---|---|
| In an office or other non-facility setting | 3,579,838 | $98.30 | $81.31 | 1.2× |
| In a facility setting | 615 | $134.04 | $79.85 | 1.7× |