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See a sample rate comparisonCPT 36455 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.
Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | UA AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $114.23 national non-facility rate (2026) · View Medicare rates for 36455 |
| Medicaid Fee Schedule | $98.48 median of the 8 states in the free preview · View Medicaid rates for 36455 |
National average reimbursement for CPT 36455 by major payers:
$156.02
$174.59
$181.67
$202.14
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CPT 36455
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$3,209.00Published rateCdi Twin Cities Asc LLC, Rayus Twin Cities Asc
$500.00Published rateTower Clock Surgery Center Appleton, LLC
Tower Clock Surgery Center Appleton LLC
$249.00Published rateWellness Ambulatory Surgery Center, LLC
Wellness Ambulatory Surgery Center LLC
$162.00Published rateUniversity Orthopedics, Inc., Uoi-East Bay Surgery Center
$72.00Published rate
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See a sample payer proposalCPT 36455 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36455 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 36455 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 |
|---|---|---|
| 36450-CPT | Moderate | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36455-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36456-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36455 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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