CPT 76376 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 | • 11 - Office • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76376 |
National average reimbursement for CPT 76376 by major payers:
$36.07
$53.84
$89.69
$67.17
| 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 76376 | ||||||
United | 76376 | $21.71 | 1780846212 - DARA RASPBERRY | 232275991 - (PA) ALBERT EINSTEIN HEALTHCARE NETWORK | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $20.00 | 1720054067 - TRACEY VOGEL | 232919472 - UPMC | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $42.72 | 1730448903 - JONATHAN ADAMS | 251838458 - HIGHMARK HEALTH | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $14.00 | 1215128541 - HANNAH MUDE MISHKIN | 231352204 - (PA) READING HOSPITAL | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $13.34 | 1568756765 - KENT HARKEY | 844504483 - (TX) MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP | TX | Emergency Medicine Physician (207P00000X) |
United | 76376 | $133.19 | 1962448480 - CHANCE GREEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 76376 | $27.31 | 1659302289 - RICHARD MCCOLLUM | 832849989 - ZOOMCARE | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $133.19 | 1053563965 - RAYMOND LIEBER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 76376 | $26.27 | 1760777650 - JORDAN GOLD | 562616090 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $21.71 | 1548402894 - MARK KIM | 232809585 - JEFFERSON UNIVERSITY PHYSICIANS | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $192.02 | 1710241252 - CHRISTOPHER HOFFMAN | 223413079 - (NJ) VOORHEES PAIN CONSULTANTS PA | NJ | Anesthesiology Physician (207L00000X) |
United | 76376 | $67.65 | 1700178332 - JARED KRUGH | 251512436 - (PA) MEADVILLE MEDICAL CENTER | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $119.08 | 1235545807 - ASHER STEIN | 356001583 - (IN) HENRY COUNTY MEMORIAL HOSPITAL | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $43.09 | 1144751017 - MAURO HANAOKA | 232743545 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $9.60 | 1639132491 - JAMES ROTHSCHILD | 510298419 - (DE) ANESTHESIA SERVICES, PA | MD | 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 76376 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76376 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 76376 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 |
|---|---|---|
| 76080-CPT | Low | Rad Exam Fistula Sinus Tract Study Rad S |
| 76098-CPT | Low | X-Ray Breast Surgical Specimen |
| 76125-CPT | Low | Cineradiography/Videoradiography To Complement Routine Examination (List Separately In Addition To Code For Primary Procedure) |
| 76376-CPT | Low | 3d Rendering With Interpretation And Reporting Of Computed Tomography Magnetic Resonance Imaging Ultrasound Or Other Tomographic Modality; With Image Postprocessing Under Concurrent Supervision;Not Requiring Image Postprocessing On An Indepen- Dent Workstation(Revised 1/1/2013) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76376 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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