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See a sample rate comparisonCPT 36254 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.
Ins Cath Ren Art 2nd Bilat, Superselective Catheter Placement One Or More Second Order Or Higher Renal Artery Branches Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture Catheterization Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Bilateral
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,909.86 national non-facility rate (2026) · View Medicare rates for 36254 |
| Medicaid Fee Schedule | $1,494.46 median of the 8 states in the free preview · View Medicaid rates for 36254 |
National average reimbursement for CPT 36254 by major payers:
$2,648.47
$3,052.22
$2,947.09
$814.25
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CPT 36254
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$6,225.00Published rateHenderson Surgery Center
Henderson Surgery Center LLC
$1,486.00Published rateTidalhealth Surgery Center, LLC
$1,378.00Published rateSun City Az Endoscopy Asc LLC, Sun City Endoscopy Center
Sun City Az Endoscopy Asc LLC
$956.00Published rateFarshid Paydar Md PC, The Eye Clinic
Farshid Paydar Md PC
$489.00Published rate
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See a sample payer proposalCPT 36254 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36254 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 36254 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 |
|---|---|---|
| 36251-CPT | High | Ins Cath Ren Art 1st Unilat, Selective Catheter Placement First Order Main Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture And Catheter Placement S Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Unilateral |
| 36252-CPT | High | Ins Cath Ren Art 1st Bilat, Selective Catheter Placement First Order Main Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture And Catheter Placement S Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Bilateral |
| 36253-CPT | High | Ins Cath Ren Art 2nd Unilat, Superselective Catheter Placement One Or More Second Order Or Higher Renal Artery Branches Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture Catheterization Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Unilateral |
| 36254-CPT | High | Ins Cath Ren Art 2nd Bilat, Superselective Catheter Placement One Or More Second Order Or Higher Renal Artery Branches Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture Catheterization Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36254. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36254 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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