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CignaAll Plans · Reimbursement · Claims & BillingMedium impact

Immunization Fee Schedule (NIIFS) quarterly update

Effective date
Nov 1, 2026
Identified
Nov 4, 2026

Summary

Cigna Healthcare has updated the National Injectable and Immunization Fee Schedule (NIIFS) for the fourth quarter of 2026. The updated fee schedule became effective on November 1, 2026, and your practice should verify reimbursement rates for injectable drugs and immunizations against the new schedule to ensure accurate billing.

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What to do

Action · 4 steps
01Already effective as of November 1, 2026: Obtain the updated NIIFS fee schedule from Cigna Healthcare and verify reimbursement rates for all injectable drugs and immunizations your practice bills.
02Update internal charge entry and fee schedules to reflect any rate changes in the new NIIFS.
03Review any claims submitted between November 1 and today (November 4, 2026) to confirm they were billed at the correct rates; if rates changed and claims went out at old rates, contact Cigna to resubmit affected claims with corrected amounts.
04Going forward, billing team should monitor Cigna's quarterly NIIFS updates scheduled for February 1, May 1, August 1, and November 1 each year.

Original notice

Immunization Fee Schedule (NIIFS) quarterly update
providernewsroom.com · Always check the source before changing claims.
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