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 |
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 | $83.00 | 1356399760 - GREGORY PAGE | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $128.69 | 1356684542 - DAVID LIU | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $99.00 | 1093009169 - MATTHEW FISCHER | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $99.00 | 1336600758 - ALEX PHAM | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $84.66 | 1457369555 - LAURA O'DONNELL | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $46.34 | 1043605751 - DANIEL GARCIA | 824591168 - (CA) TRIAS GLOBAL LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $57.50 | 1851853972 - CLARENCE CHOW | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $117.22 | 1508946690 - HO J CHOI | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $117.50 | 1457383564 - MICHAEL GATLEY | 620931432 - (TN) ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $56.91 | 1497142293 - YI CAI | 200358722 - (CA) UNITED MEDICAL DOCTORS | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00906 | $128.69 | 1346565074 - OANA MATIES | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $62.00 | 1619906708 - DANIEL MASLUK | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $60.00 | 1366735276 - YAN ZHOU | 680334324 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00906 | $55.00 | 1871100800 - NADER RONAGHI MD CORP. | 842684513 - (CA) NADER RONAGHI MD CORP | CA | Anesthesiology Physician (207L00000X) |
United | 00906 | $56.00 | 1649272568 - SON TRAN | 1649272568 - (CA) SON TRAN | 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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