Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 37243 Fee Schedule
Medicare rates as of October 2026
CPT 37243 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
Vasc Embolize Occlude Organ, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Tumors Organ Ischemia Or Infarction
| 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 | GC - Service performed by resident under supervision RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $7,995.17 national non-facility rate (2026) · View Medicare rates for 37243 |
| Medicaid Fee Schedule | $6,334.62 median of the 8 states in the free preview · View Medicaid rates for 37243 |
National average reimbursement for CPT 37243 by major payers:
$9,837.15
BCBS / Anthem
$13,022.71
UnitedHealthcare
$13,362.57
Aetna
$1,925.22
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 37243.
CPT 37243
5 of 25 sample ratesHigher to lower in this preview
Stefan Ruehm
$72,506.67Published rateBarry Stoll
$20,372.52Published rateChristopher Raio
St Joseph Hospital
$13,562.32Published rateBret Langenberg
$10,142.25Published rateAids Healthcare Foundation, Ahf
$352.95Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 37243 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 37243. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 37241-CPT | High | Vasc Embolize Occlude Venous, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Venous Other Than Hemorrhage Eg Congenital Or Acquired Venous Malformations Venous And Capillary Hemangiomas Varices Varicoceles |
| 37242-CPT | High | Vasc Embolize Occlude Artery, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Arterial Other Than Hemorrhage Or Tumor Eg Congenital Or Acquired Arterial Malformations Arteriovenous Malformations Arteriovenous Fistulas Aneurysms Pseudoaneurysms |
| 37243-CPT | High | Vasc Embolize Occlude Organ, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Tumors Organ Ischemia Or Infarction |
| 37244-CPT | High | Vasc Embolize Occlude Bleed, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Arterial Or Venous Hemorrhage Or Lymphatic Extravasation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37243. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37243 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 37243) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
CPT 37243 reports vascular embolization or occlusion for tumors, organ ischemia or infarction, such as chemoembolization of a liver tumor. It includes radiological supervision and interpretation, roadmapping and imaging guidance.
The embolization codes are chosen by purpose: 37241 for venous conditions other than hemorrhage, 37242 for arterial conditions other than hemorrhage or tumor, 37243 for tumor, ischemia or infarction, and 37244 for hemorrhage or lymphatic extravasation.
Medicare pays the surgeon for CPT 37243 under the Physician Fee Schedule, adjusted for the local cost of practice, and the hospital or surgery center bills a separate facility fee. Commercial payers negotiate their own professional rates, often as a percentage of Medicare, and those contracts vary widely by payer, plan and market.
This page lists the rates commercial payers have published for CPT 37243 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.