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CPT 00756 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Anes Hernia Rep Up Abd; Diaphragmatic He
Key FactDetail
Service Type

Anesthesia

Anesthesia for Procedures on the Upper Abdomen

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

AA - Anesthesia by anesthesiologist

None

P3 - A patient with severe systemic disease

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 00756

National average anesthesia conversion factor for CPT 00756 by major payers:

bcbs

$57.98

uhc

$55.80

aetna

$57.07

cigna

$54.74

Preview provider-level rates for...
For billing codeCPT 00756
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 00756

United
00756$135.001740238708 - HEIDI WITHERELL811684606 - (CO) ANESTHESIA PARTNERS OF COLORADO, PLLCCAAnesthesiology Physician (207L00000X)
United
00756$121.221134681992 - JONATHAN DAHAN954395492CAAnesthesiology Physician (207L00000X)
United
00756$35.001073175725 - LEON WANG954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATIONCAAnesthesiology Physician (207L00000X)
United
00756$70.001699160325 - KAITLIN FLANNERY260089066CAAnesthesiology Physician (207L00000X)
United
00756$58.001700891520 - PUSHPA SHAHANI464316329CAAnesthesiology Physician (207L00000X)
United
00756$45.001871813899 - CHRONIC PAIN MANAGEMENT CLINIC A MEDICAL CORPORATION272591091CAPain Medicine (Anesthesiology) Physician (207LP2900X)
United
00756$135.501497487185 - KATHERINE EGAN330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSMCAAnesthesiology Physician (207L00000X)
United
00756$51.001457649865 - MICHAEL SCHWARTZ223419259 - (NJ) COOPER HEALTH SYSTEMSCAAnesthesiology Physician (207L00000X)
United
00756$55.001811284508 - SUSAN YANG429538681CAPain Medicine (Anesthesiology) Physician (207LP2900X)
United
00756$80.001588736573 - STEVEN XANTHOPOULOS871221902 - (CA) EL CAMINO ANESTHESIACAAnesthesiology Physician (207L00000X)
United
00756$65.001568429058 - QIANFANG REN272744417 - (CA) QIANFANG REN MD A PROFESSIONAL CORPORATIONCAAnesthesiology Physician (207L00000X)
United
00756$60.001376543975 - SHAOXIONG LIU203722881 - (MA) ANESTHETICS OF LAWRENCE PCCAAnesthesiology Physician (207L00000X)
United
00756$128.691215611868 - NANA AGYA PREMPEH943281663CAAnesthesiology Physician (207L00000X)
United
00756$61.001962720920 - ODINAKACHUKWU EHIE943281663CAAnesthesiology Physician (207L00000X)
United
00756$58.001144274184 - GUNDALA REDDY200715907 - (CA) PAIN ASSOCIATES OF MERCEDCAAnesthesiology Physician (207L00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 00756 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes

The CPT 00756 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Abdomen. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 00756 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
00752-CPTModerateAnes Hernia Rep Up Abd; Lumb/Vent/ Wound
00754-CPTModerateAnes Hernia Rep Up Abd; Omphacele
00756-CPTModerateAnes Hernia Rep Up Abd; Diaphragmatic He
00770-CPTModerateAnes Proc Major Abdominal Blood Vessels

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00756. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 00756 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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