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CommercialReimbursementMedium impact

Immunization Fee Schedule (NIIFS) quarterly update

Cigna·Allergy & Immunology, Family Medicine, General Practice +2 more·Claims & Billing
Effective date
Aug 1, 2026
We identified it
Jul 30, 2026
Days to comply
2 days

Summary

Cigna Healthcare's National Injectable and Immunization Fee Schedule (NIIFS) has been updated for the third quarter of 2026 and will become effective August 1, 2026. The billing team must obtain the updated fee schedule to ensure accurate reimbursement for injectable drugs and immunization administration services.

Action Required

Before Aug 1, 2026
By July 31, 2026: Billing team must obtain and review the updated 2026 Q3 NIIFS from Cigna Healthcare provider resources. Download the complete fee schedule document and cross-reference current billing codes used for immunization and injectable drug claims. Update billing software with any new, deleted, or revised HCPCS codes and reimbursement rates effective August 1, 2026. Communicate changes to clinical staff and front desk to ensure accurate charge capture. Failure to implement updates may result in claim denials or incorrect reimbursement starting August 1, 2026.