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 |
| Medicare Fee Schedule | View Medicare rates for 73206 |
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 |
|---|---|---|---|---|---|---|
United | 73206 | $205.52 | 1134384415 - IMANI ROSARIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NJ | Urology Physician (208800000X) |
United | 73206 | $230.99 | 1912386970 - COREY HANRAHAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73206 | $155.41 | 1972800837 - MOHAN BELTHUR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pediatric Orthopaedic Surgery Physician (207XP3100X) |
United | 73206 | $205.52 | 1124057070 - NITEEN ANDALKAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 73206 | $594.98 | 1689654097 - KIM IGLESIA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73206 | $831.00 | 1568914984 - ARIEL TEMPORAL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 73206 | $77.91 | 1467494575 - MICHAEL BOWEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Obstetrics & Gynecology Physician (207V00000X) |
United | 73206 | $77.91 | 1154378164 - HASSAN SHAFEEQ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 73206 | $600.01 | 1124059738 - ROBERT BLANCH | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73206 | $600.01 | 1194992842 - STEPHEN WEI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 73206 | $205.52 | 1710210273 - JENNIFER FAIRCLOTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Certified Registered Nurse Anesthetist (367500000X) |
United | 73206 | $283.45 | 1417908112 - CHRISTINE MCGREGOR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 73206 | $155.41 | 1467810739 - CARYN EPPERSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 73206 | $230.99 | 1699204081 - KEVIN HOANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 73206 | $205.52 | 1710324181 - MANMEET BEDI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
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 | Ct Scan Of An Arm, A Ct (Computed Tomography) Scan Of The Arm. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. A Contrast Dye May Be Injected Through An Iv To Illuminate Specific Areas. |
| 73201-CPT | Moderate | Ct Scan Of An Arm, A Ct (Computed Tomography) Scan Of The Arm. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. A Contrast Dye May Be Injected Through An Iv To Illuminate Specific Areas. |
| 73202-CPT | Moderate | Ct Scan Of An Arm, A Ct (Computed Tomography) Scan Of The Arm. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Additional Pictures Are Taken After Injecting Contrast Dye To Make Specific Areas Easier To See. |
| 73206-CPT | Moderate | Ct Scan Of Arm Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In One Or Both Arms. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight The Area. |
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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