CPT 00906 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Anesthesia • Anesthesia for Procedures on the Perineum |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00906 |
National average anesthesia conversion factor for CPT 00906 by major payers:
$57.21
$55.71
$56.63
$54.24
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00906 | ||||||
United | 00906 | $56.00 | 1265413165 - ANHTU LA | 205685156 - (CA) ANH TU LA MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $80.00 | 1760735385 - CAROLINA BAGGA | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00906 | $57.50 | 1851853972 - CLARENCE CHOW | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $65.00 | 1437294477 - PEDRO TANAKA | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $71.30 | 1821056904 - RICHARD NOVAK | 941707884 - (CA) ASSOCIATED ANESTHESIOLOGISTS MEDICAL GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $65.00 | 1952559247 - FANNY FISHFADER | 1952559247 - (CA) FANNY FISHFADER | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $135.50 | 1134143902 - GARY STIER | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $35.00 | 1154301224 - MICHELE PELOT | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $83.00 | 1093154387 - PATRICIA DE LUNA | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $90.00 | 1326272055 - DOMINIQUE JEAN | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00906 | $88.00 | 1659715019 - MARY YURASHEVICH | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $83.00 | 1467742700 - ROBERT KONG | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $52.00 | 1356322861 - THOMAS NGUYEN | 474116288 - (CA) TORRANCE SURGICAL ALLIANCE INC | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $99.00 | 1649346164 - JENNIFER LUCERO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $62.00 | 1619906708 - DANIEL MASLUK | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 00906 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00906 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. 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 00906 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.
| Code | Complexity | Description |
|---|---|---|
| 00830-CPT | Low | Anes Hernia Rep Low Abd; Nos |
| 00902-CPT | Moderate | Anesthesia For Procedures On Perineal Integumentary System; Anorectal Procedure |
| 00904-CPT | Moderate | Anes For Proc On Perineal Integumentary System (Including Biopsy Of Male Genital System); Radical Perineal Procedure |
| 00906-CPT | Low | Anes Perineal Integ; Vulvectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00906. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00906 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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