CPT 36903 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 11 - Office |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36903 |
National average reimbursement for CPT 36903 by major payers:
$5,359.60
$7,193.36
$6,861.39
$7,401.04
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 36903 | ||||||
United | 36903 | $3168.59 | 1326171190 - SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA | 201576394 - (FL) SOUTHSIDE FAMILY PRACTICE & WOMENS HEALTH, PA | FL | Specialist (174400000X) |
United | 36903 | $8197.88 | 1285080887 - ROCIO ZUNIGA | 932208118 - (FL) GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST | FL | Single Specialty Group (193400000X) |
United | 36903 | $8111.58 | 1255944039 - ERICA WALKER | 621585063 - (TN) SUMMIT MEDICAL GROUP, PLLC | FL | Single Specialty Group (193400000X) |
United | 36903 | $3616.83 | 1023256062 - PULMONARY MEDICINE ASSOCIATES, P.A., DR. JORGE L. HERNANDEZ M.D., F.C.C.P. | 593508768 - (FL) PULMONARY MEDICINE ASSOCIATES PA | FL | Single Specialty Group (193400000X) |
United | 36903 | $377.51 | 1548418700 - CHRISTINE PIERRE | 800273086 - (FL) JACKSONVILLE MULTISPECIALTY SERVICES LLC | FL | Specialist (174400000X) |
United | 36903 | $5665.70 | 1033410576 - FLORIDA COASTAL PLASTIC SUGERY, FLORIDA PLASTIC SURGERY | 900076655 - (FL) FLORIDA COASTAL PLASTIC SURGERY, P.A. | FL | Specialist (174400000X) |
United | 36903 | $4124.29 | 1427187459 - PHYSICIANS IMAGING CENTER OF FLORIDA LLC | 412218841 - (FL) PHYSICIANS IMAGING CENTER OF FLORIDA LLC | FL | Single Specialty Group (193400000X) |
United | 36903 | $4374.45 | 1942469168 - CHRISTOPHER DEVINE DO PA | 651142916 - (FL) CHRISTOPHER DEVINE DO PA | FL | Single Specialty Group (193400000X) |
United | 36903 | $4620.95 | 1053877506 - PREMIER MED PA | 833345207 - (FL) PREMIER MED PA | FL | Single Specialty Group (193400000X) |
United | 36903 | $3746.81 | 1245305440 - RADHARAJ, INC, BHADRESH I. PATEL, M.D. | 593544537 - (FL) RADHARAJ INC | FL | Single Specialty Group (193400000X) |
United | 36903 | $5545.04 | 1699779975 - J. EVANS | 593114490 - (FL) NORTHEAST FLORIDA ENDOCRINE & DIABETES ASSOCIATION, P.A. | FL | Specialist (174400000X) |
United | 36903 | $247.97 | 1063544963 - PRIMARY HEALTHCARE ASSOCIATES, INC | 593579431 - (FL) PRIMARY HEALTHCARE ASSOCIATES INC | FL | Specialist (174400000X) |
United | 36903 | $4249.00 | 1346631330 - GINTER WELLNESS LLC | 471164169 - (FL) GINTER WELLNESS LLC | FL | Single Specialty Group (193400000X) |
United | 36903 | $3768.92 | 1043438831 - MICHAEL A GARVIN DPM PA | 650323790 - (FL) MICHAEL A. GARVIN, D.P.M., P.A. | FL | Single Specialty Group (193400000X) |
United | 36903 | $7896.74 | 1619165305 - SMH PHYSICIAN SERVICES INC, ASSOCIATES IN INTERNAL MEDICINE-FIRST PHYSICIAN GROUP | 650512900 - SMH PHYSICIAN SERVICES INC | FL | Single Specialty Group (193400000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 36903 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36903 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 36903 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 |
|---|---|---|
| 36901-CPT | Moderate | Introduction Of Needle(S) And/Or Catheter(S) Di- Alysis Circuit With Diagnostic Angiography Of Thedialysis Circuit Including All Direct Puncture(S)And Catheter Placement(S) Injection(S) Of Con- Trast All Necessary Imaging From The Arterial Anastomosis And Adjacent Artery Through Entire Venous Outflow Including The Inferior Or Superior Vena Cava Fluoroscopic Guidance Radiological Supervision And Interpretation And Image Documen- Tation And Report; |
| 36902-CPT | High | Introduction Of Needle(S) And/Or Catheter(S) Di- Alysis Circuit With Diagnostic Angiography Of Thedialysis Circuit Including All Direct Puncture(S)And Catheter Placement(S) Injection(S) Of Con- Trast All Necessary Imaging From The Arterial Anastomosis And Adjacent Artery Through Entire Venous Outflow Including The Inferior Or Superior Vena Cava Fluoroscopic Guidance Radiological Supervision And Interpretation And Image Documen- Tation And Report; With Transluminal Balloon Angi- |
| 36903-CPT | High | Introduction Of Needle(S) And/Or Catheter(S) Di- Alysis Circuit With Diagnostic Angiography Of Thedialysis Circuit Including All Direct Puncture(S)And Catheter Placement(S) Injection(S) Of Con- Trast All Necessary Imaging From The Arterial Anastomosis And Adjacent Artery Through Entire Venous Outflow Including The Inferior Or Superior Vena Cava Fluoroscopic Guidance Radiological Supervision And Interpretation And Image Documen- Tation And Report; With Transcatheter Placement Of |
| 36904-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy And/Or Infusion For Thrombolysis Dialysis Circuitany Method Including All Imaging And Radiologicalsupervision And Interpretation Diagnostic Angi- Ography Fluoroscopic Guidance Catheter Place- Ment(S) And Intraprocedural Pharmacological Throm-Bolytic Injection(S); |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36903. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36903 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 36903) and we'll show you how you compare in 15 minutes or less.