CPT 73206 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 | • 23 - Emergency Room • 21 - Inpatient Hospital |
| Common Modifiers | • 26 - Professional component • LT - Left side of body • None |
| Complexity Level | Moderate |
National average reimbursement for CPT 73206 by major payers:
$423.27
$428.18
$418.83
$513.95
| 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 73206 | ||||||
United | 73206 | $109.75 | 1821081720 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 73206 | $283.45 | 1225647209 - ASHLEY MATTIX | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 73206 | $283.45 | 1689023228 - HAMISH PATEL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | LA | Internal Medicine Physician (207R00000X) |
United | 73206 | $205.52 | 1134384415 - IMANI ROSARIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NJ | Urology Physician (208800000X) |
United | 73206 | $642.00 | 1528052560 - BRIAN MULKERIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 73206 | $77.91 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Orthopaedic Surgery Physician (207X00000X) |
United | 73206 | $642.00 | 1295717908 - KATHLEEN SIMMONDS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 73206 | $77.91 | 1962448480 - CHANCE GREEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 73206 | $205.52 | 1659516169 - JESSICA COURTNEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Certified Registered Nurse Anesthetist (367500000X) |
United | 73206 | $797.40 | 1033439864 - VU HUYNH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Emergency Medicine Physician (207P00000X) |
United | 73206 | $205.52 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pulmonary Disease Physician (207RP1001X) |
United | 73206 | $283.45 | 1487034039 - GREGORY DUHON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | LA | Internal Medicine Physician (207R00000X) |
United | 73206 | $283.45 | 1790002350 - KRISTOPHER DAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | RI | Surgery Physician (208600000X) |
United | 73206 | $77.91 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Plastic Surgery Physician (208200000X) |
United | 73206 | $642.00 | 1376733279 - JULIE MALONEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgical Physician Assistant (363AS0400X) |
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 73206 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73206 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 73206 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 |
|---|---|---|
| 73200-CPT | Moderate | C A T Upper Extremity; W/O Contrast Mate |
| 73201-CPT | Moderate | Ct Upper Extremity;W/Contrast Mater |
| 73202-CPT | Moderate | Computerized Axial Tomography Upper Extremity; Without Contrast Material Followed By Contrast Material(S) And Further Sections |
| 73206-CPT | Moderate | Computed Tomographic Angiography Upper Extremity With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing E Post-Processing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73206. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73206 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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