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See a sample rate comparisonCPT 36226 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Place Cath Vertebral Art, Selective Catheter Placement Vertebral Artery Unilateral With Angiography Of The Ipsilateral Vertebral Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $2,285.96 national non-facility rate (2026) · View Medicare rates for 36226 |
| Medicaid Fee Schedule | $1,757.04 median of the 8 states in the free preview · View Medicaid rates for 36226 |
National average reimbursement for CPT 36226 by major payers:
$2,029.93
$2,569.92
$2,839.72
$761.42
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CPT 36226
5 of 25 sample ratesHigher to lower in this preview
Susmita Pati
Stony Brook Childrens Service University Faculty Practice Corp
$14,835.58Published rateKatarina Eisinger
Columbia University In The City Of New York
$6,687.97Published rateGihan Kader
Deaconess Hospital Inc
$3,271.36Published rateJustin Kopa
Montefiore Medical Center
$2,184.19Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$909.33Published rate
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See a sample payer proposalCPT 36226 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36226 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 36226 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 |
|---|---|---|
| 36222-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Extracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
| 36223-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Extracranial Carotid And Cervicocerebral Arch When Performed |
| 36225-CPT | High | Place Cath Subclavian Art, Selective Catheter Placement Subclavian Or Innominate Artery Unilateral With Angiography Of The Ipsilateral Vertebral Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
| 36226-CPT | High | Place Cath Vertebral Art, Selective Catheter Placement Vertebral Artery Unilateral With Angiography Of The Ipsilateral Vertebral Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36226. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36226 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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