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See a sample rate comparisonHealthcare 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 | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30906 |
| Medicaid Fee Schedule | View Medicaid rates for 30906 |
National average reimbursement for CPT 30906 by major payers:

$381.41

$417.33

$474.15

$551.80
Choose a payer to see a sample of rates for CPT 30906.
Surgery Center Of Fremont LLC
American Access Care Of Atlanta Asc LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 30906 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30906 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. 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 30906 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 |
|---|---|---|
| 30310-CPT | Moderate | Removal Foreign Body Intranas, Removal Foreign Body Intranasal Requiring Generalanesthesia Removal Foreign Body Intranasal Requiring General |
| 30903-CPT | Moderate | Cntrol Nasal Hemorrhag Anterio Complx (Pextensiv Cautery &/Or, Control Nasal Hemorrhage Anterior Complex (Extensive Cautery And/Or |
| 30905-CPT | Moderate | Control Nasal Hemorrhage Pos, Control Nasal Hemorrhage Posterior With Posterior Nasalpacks Andor Cauterization Any Method Initial |
| 30906-CPT | Moderate | Control Nasal Hemorrhage Pos, Control Nasal Hemorrhage Posterior With Posterior Nasalpacks Andor Cauterization Any Method Subsequent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30906. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30906 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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