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 37256 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.
Revsc Evasc Ivt Angio Cplx 1, Revascularization Endovascular Open Or Percutaneous Iliac Vascular Territory With Transluminal Angioplasty Including All Maneuvers Necessary For Accessing And Selectively Catheterizing The Artery And Crossing The Lesion Including All Imaging Guidance And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Unilateral; Complex Lesion Initial Vessel
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Complexity Level | High |
| Medicare Fee Schedule | $2,430.25 national non-facility rate (2026) · View Medicare rates for 37256 |
| Medicaid Fee Schedule | $1,897.51 median of the 8 states in the free preview · View Medicaid rates for 37256 |
National average reimbursement for CPT 37256 by major payers:
$2,836.78
$3,474.48
$2,941.91
$647.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 37256.
CPT 37256
No sample rates available for this payer and code. Search provider rates to explore coverage.
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 37256 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37256 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 37256 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 |
|---|---|---|
| 37256-CPT | High | Revsc Evasc Ivt Angio Cplx 1, Revascularization Endovascular Open Or Percutaneous Iliac Vascular Territory With Transluminal Angioplasty Including All Maneuvers Necessary For Accessing And Selectively Catheterizing The Artery And Crossing The Lesion Including All Imaging Guidance And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Unilateral; Complex Lesion Initial Vessel |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37256. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37256 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 37256) and we'll show you how you compare in 15 minutes or less.