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See a sample rate comparisonCPT 74355 Fee Schedule
Last Verified: September 2026
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.
X-Ray Assisted Tube Insertion, Use Of X-Ray To Guide Insertion Of A Tube Into The Mouth And Through The Stomach To The Small Intestine. The Tube Is Used To View The Intestine.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 26 - Professional component TC - Technical component RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74355 |
| Medicaid Fee Schedule | View Medicaid rates for 74355 |
National average reimbursement for CPT 74355 by major payers:
$176.52
$165.71
$138.75
$212.82
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CPT 74355
5 of 25 sample ratesHigher to lower in this preview
Mohammed Alam
Radiology Associates Of North Texas, PA
$367.26Published rateChristopher Raio
St Joseph Hospital
$185.12Published rateJames Hayes
Northern Arizona Healthcare Corporation
$114.76Published rateChristopher Raio
St Francis Hospital
$49.81Published rateGary Gridley
Northern Arizona Healthcare Corporation
$39.34Published rate
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See a sample payer proposalCPT 74355 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74355 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 74355 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 |
|---|---|---|
| 74329-CPT | Low | Endoscopic Catheterization Of, Endoscopic Catheterization Of The Pancreatic Ductal System Radiological Supervision And Interpretation Endoscopic Catheterization Of The Pancreatic Ductal System |
| 74340-CPT | Low | X-Ray Of The Intestines, A Tube Is Inserted Through The Nose And Guided To The Intestines By X-Ray. The Tube Enables Fluoroscopy Of The Intestines. This Is An X-Ray That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 74355-CPT | Low | X-Ray Assisted Tube Insertion, Use Of X-Ray To Guide Insertion Of A Tube Into The Mouth And Through The Stomach To The Small Intestine. The Tube Is Used To View The Intestine. |
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74355 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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