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See a sample rate comparisonCPT 75805 Fee Schedule
CPT 75805 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 75805 |
| Medicaid Fee Schedule | $191.68 median of the 7 states in the free preview · View Medicaid rates for 75805 |
National average reimbursement for CPT 75805 by major payers:
$1,235.71
BCBS / Anthem
$1,314.97
UnitedHealthcare
$2,151.09
Aetna
$407.67
Cigna
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CPT 75805
5 of 25 sample ratesHigher to lower in this preview
Mukul Maheshwari
Radiology Associates Of North Texas, PA
$1,782.86Published rateJoseph Lach
Northern Arizona Healthcare Corporation
$1,630.89Published rateNicholas Franceschini
Northern Arizona Healthcare Corporation
$386.98Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$97.76Published rateJoseph Lach
Northern Arizona Healthcare Corporation
$40.75Published rate
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See a sample payer proposalCPT 75805 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 75805. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 75801-CPT | Moderate | X-Ray Study Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels Of One Or Both Arms Or Legs After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75803-CPT | Moderate | X-Ray Study Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels Of One Or Both Arms Or Legs After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75805-CPT | High | X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75807-CPT | High | X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75805 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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