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Updated July 1st, 2026

BEXSERO CPT Vaccine Code: 90620

Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use

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Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Medicare Coverage CMS publishes no Medicare Part B payment limit for BEXSERO. Vaccines given for routine prevention are generally covered under Medicare Part D rather than Part B.

Vaccine & Product Overview

HCPCS Descriptor Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use
Manufacturer Glaxo Smithkline Pharmaceuticals
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About BEXSERO

Bexsero is a medication aligned to the HCPCS CPT Drug Code: 90620 for billing, pricing, and reimbursement purposes in the United States. This Vaccine medication is administered via the intramuscular route and manufactured by Glaxo Smithkline Pharmaceuticals.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to 90620. Package detail is available to logged-in subscribers.

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BEXSERO Pricing & Reimbursement

90620 Private Payer Reimbursement
$269.55 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

BEXSERO Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

BEXSERO Medically Unlikely Edits (MUE)

The most billing units of 90620 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

BEXSERO Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Invasive meningococcal disease (Neisseria meningitidis serogroup B)

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Frequently Asked Questions

Is there an available Bexsero billing and coding guide?
Billing and coding information for BEXSERO can be found through GSK. Visit Here →
Are there any available Bexsero patient assistance programs?
BEXSERO patient assistance information can be found through GSK. Visit Here →
Where can I find Bexsero prescribing information?
BEXSERO prescribing information can be found at the link below: Visit Here →
Where can I find Bexsero side effect information?
Information regarding BEXSERO's side effects can be found at MedlinePlus Visit Here →
Does billing BEXSERO require JZ/JW wastage modifiers?
CMS does not include BEXSERO (90620) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90620. For more information, visit the link below.

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