CPT 01926 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 Radiological Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01926 by major payers:
$64.41
$54.09
$63.93
$56.59
| 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 01926 | ||||||
United | 01926 | $52.50 | 1548533656 - ANDREW COSTANDI | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01926 | $84.66 | 1306956123 - JAMES HALCOMB | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $60.00 | 1841242559 - GREGORY VUKSINICH | 202030269 - (CA) AMADOR ANESTHESIA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $55.27 | 1497487185 - KATHERINE EGAN | 823162244 | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $85.00 | 1588856694 - MONIQUE CADOGAN | 161450921 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01926 | $70.00 | 1205167798 - VIDYA RAO | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $57.50 | 1609301688 - VIVEK VARMA | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $55.50 | 1437295599 - SHIU-YI CHEN | 954401759 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01926 | $100.00 | 1568590636 - SUTTER NORTH MEDICAL FOUNDATION, SUTTER NORTH ANESTHESIOLOGY | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $67.09 | 1700044815 - JEFFREY LOH | 943281660 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01926 | $55.50 | 1316409022 - DANH LE | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $55.50 | 1568814846 - DANIEL PARK | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $71.30 | 1487605754 - JEFFERY BLEICH | 941707884 - (CA) ASSOCIATED ANESTHESIOLOGISTS MEDICAL GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $61.00 | 1356684542 - DAVID LIU | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01926 | $52.50 | 1396858783 - DEBRA LOTSTEIN | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
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 01926 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01926 code is part of the Anesthesia services used for Anesthesia for Radiological Procedures. 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 01926 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 |
|---|---|---|
| 01920-CPT | Moderate | Anesthesia For Cardiac Catheterization Including Coronary Angiography And Ventriculography (Not To Include Swan-Ganz Catheter) |
| 01924-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Arterial System; Not Otherwise Specified |
| 01925-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiologic Procedures Involving The Arterial System;Carotid Or Coronary |
| 01926-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Arterial System; Intracranial, Intracardiac, Or Aortic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01926. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01926 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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