CPT 70545 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 11 - Office • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 70545 by major payers:
$328.12
$413.74
$451.36
$478.64
| 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 70545 | ||||||
United | 70545 | $827.36 | 1598730061 - ANGELA LAMPKIN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70545 | $101.40 | 1821252925 - ADAM SCHNEIDER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | SD | Orthopaedic Surgery Physician (207X00000X) |
United | 70545 | $154.30 | 1255408308 - ANGELENA HO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70545 | $101.40 | 1073928271 - SETH GREENBAUM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 70545 | $883.78 | 1861641581 - JAMES KNELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 70545 | $883.78 | 1346622289 - MADHAVI BOGA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | PA | Internal Medicine Physician (207R00000X) |
United | 70545 | $883.78 | 1740586593 - MELISSA ASSAF | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pediatric Nurse Practitioner (363LP0200X) |
United | 70545 | $101.40 | 1700390861 - DYMAN KWARCIAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X) |
United | 70545 | $169.02 | 1487034039 - GREGORY DUHON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Internal Medicine Physician (207R00000X) |
United | 70545 | $55.00 | 1649599168 - RESTORATIVE HEALTH REHABILITATION INC | 272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC | FL | Home Health Agency (251E00000X) |
United | 70545 | $985.19 | 1548609431 - BIANCA ANDERSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Registered Dietitian (133V00000X) |
United | 70545 | $985.19 | 1316931702 - JON SHERECK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Orthopaedic Trauma Physician (207XX0801X) |
United | 70545 | $883.78 | 1306828702 - RICHARD BEAMON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KS | Emergency Medicine Physician (207P00000X) |
United | 70545 | $985.19 | 1982678322 - ZOHREH KAZEMI-DUNN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 70545 | $827.36 | 1194169847 - JUSTIN RAMIREZ | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
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 |
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CPT 70545 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70545 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. 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 70545 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 |
|---|---|---|
| 70496-CPT | Moderate | Computed Tomographic Angiography Head With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Essing |
| 70544-CPT | Moderate | Magnetic Resonance Angiography, Head; Without Contrast Material(S) |
| 70545-CPT | Moderate | Magnetic Resonance Angiography, Head; With Contrast Material(S) |
| 70546-CPT | Moderate | Magnetic Resonance Angiography, Head; Without Contrast Material(S), Followed By Contrast Material(S) And Further Sequences |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70545 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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