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See a sample rate comparisonCPT 35306 Fee Schedule
Last Verified: October 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.
Surgery For Blocked Artery, Surgery To Remove Plaque Or Clots From One Or More Arteries. The Procedure May Include Repairing A Damaged Blood Vessel With A Patch (Graft) From Another Blood Vessel.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $402.48 national non-facility rate (2026) · View Medicare rates for 35306 |
| Medicaid Fee Schedule | $309.82 median of the 8 states in the free preview · View Medicaid rates for 35306 |
National average reimbursement for CPT 35306 by major payers:
$585.00
$628.10
$647.19
$738.11
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CPT 35306
5 of 25 sample ratesHigher to lower in this preview
Tarrant County Surgery Center Lp
$2,575.00Published rateBristol Ambulatory Surgery Center, LLC
$1,049.00Published rateMed Atlantic Inc, Med Atlantic Inc Dba Urosurgical Ctr Of Richmond
$724.00Published rateInland Valley Surgery Center, LLC
Inland Valley Surgery Center LLC
$565.00Published rateHershey Outpatient Surgery Center Lp, Hershey Outpatient Surgery Center
Hershey Outpatient Surgery Center Lp
$322.00Published rate
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See a sample payer proposalCPT 35306 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35306 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular 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 35306 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 |
|---|---|---|
| 35305-CPT | High | Surgery For Blocked Artery, Surgery To Remove Plaque Or Clots From One Or More Arteries. The Procedure May Include Repairing A Damaged Blood Vessel With A Patch (Graft) From Another Blood Vessel. |
| 35306-CPT | Moderate | Surgery For Blocked Artery, Surgery To Remove Plaque Or Clots From One Or More Arteries. The Procedure May Include Repairing A Damaged Blood Vessel With A Patch (Graft) From Another Blood Vessel. |
| 35311-CPT | High | Surgery For Blocked Artery, Surgery To Remove Plaque Or Clots From One Or More Arteries. The Procedure May Include Repairing A Damaged Blood Vessel With A Patch (Graft) From Another Blood Vessel. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35306 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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