CPT 74415 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 | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 74415 by major payers:

$174.20

$163.42

$166.78

$213.81
| 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 74415 | ||||||
United | 74415 | $41.40 | 1508865239 - KHAWAJA RAHMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Pulmonary Disease Physician (207RP1001X) |
United | 74415 | $176.38 | 1952324170 - NAVJOT SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Gastroenterology Physician (207RG0100X) |
United | 74415 | $41.40 | 1669452348 - KRISTINA KEZAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74415 | $159.05 | 1013915149 - BAYCARE HOME CARE, INC., DBA SARASOTA MEMORIAL HOME CARE | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 74415 | $41.40 | 1710210273 - JENNIFER FAIRCLOTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Certified Registered Nurse Anesthetist (367500000X) |
United | 74415 | $176.38 | 1780930172 - RAM NARAYAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology Physician (2084N0400X) |
United | 74415 | $217.80 | 1669447488 - BRADLEY NICOL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 74415 | $24.89 | 1477009702 - MELISSA KOLNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 74415 | $154.46 | 1588680516 - JAMES ARTHUR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 74415 | $176.38 | 1760706238 - STEPHENSON IKPE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Orthopaedic Surgery Physician (207X00000X) |
United | 74415 | $176.38 | 1568025716 - SHANE STEVENS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Certified Registered Nurse Anesthetist (367500000X) |
United | 74415 | $217.80 | 1548781438 - SCOTT KRANKKALA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 74415 | $129.55 | 1821182429 - ALLISON KIRSHNER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 74415 | $24.88 | 1437139474 - MARIAN DIAMOND | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 74415 | $30.04 | 1033117007 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
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 74415 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74415 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 74415 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 |
|---|---|---|
| 74400-CPT | Low | Urography (Pyelography), Intravenous, With Or Without Kub, With Or Without Tomography |
| 74410-CPT | Low | Urography, Infusion, Drip Technique And/Or Bolus Technique; |
| 74415-CPT | Low | Urography, Infusion, Drip Technique And/Or Bolus Technique; With Nephrotomography |
| 74420-CPT | Low | Imaging Of Urinary Tract Following Injection Of A Contrast Agent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74415 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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