CPT 74713 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 | Moderate |
National average reimbursement for CPT 74713 by major payers:
$264.23
$269.27
$366.91
$341.32
| 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 74713 | ||||||
United | 74713 | $153.00 | 1952350001 - LORI MCNEAL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 74713 | $153.00 | 1659516169 - JESSICA COURTNEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Certified Registered Nurse Anesthetist (367500000X) |
United | 74713 | $238.19 | 1356345383 - EUGENE CHARLEBOIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 74713 | $198.16 | 1740324235 - DEBORAH MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Anesthesiology Physician (207L00000X) |
United | 74713 | $391.19 | 1376017459 - NICHOLAS FINLINSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ID | Certified Registered Nurse Anesthetist (367500000X) |
United | 74713 | $391.19 | 1316238694 - ROBERT FIALA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Anesthesiology Physician (207L00000X) |
United | 74713 | $80.68 | 1881639581 - BHUVANAPRASAD MANDALAPU | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Neurology Physician (2084N0400X) |
United | 74713 | $198.16 | 1487034039 - GREGORY DUHON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Internal Medicine Physician (207R00000X) |
United | 74713 | $230.08 | 1720442890 - TONY ALIAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 74713 | $391.19 | 1356345383 - EUGENE CHARLEBOIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 74713 | $238.19 | 1659399293 - MICHAEL HUDSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 74713 | $238.19 | 1346541380 - ERICK IMBERTSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Gastroenterology Physician (207RG0100X) |
United | 74713 | $391.19 | 1780113654 - NICOLE RUPE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 74713 | $391.19 | 1306251343 - NICHOLAS WILLIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KY | Anesthesiology Physician (207L00000X) |
United | 74713 | $117.48 | 1942619408 - MOHANAD SOLIMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Pulmonary Disease Physician (207RP1001X) |
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 74713 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74713 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 74713 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 Cath Pancreatic Duct S&I |
| 74330-CPT | Low | Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, Radiological Supervision And Interpretation |
| 74363-CPT | Moderate | Percutaneous Transhepatic Dilation Of Biliary Duct Stricture With Or Without Placement Of Stent, Radiological Supervision And Interpretation |
| 74713-CPT | Moderate | Magnetic Resonance (Eg Proton) Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed; Each Additional Gestation (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74713. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74713 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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