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See a sample rate comparisonCPT 76936 Fee Schedule
CPT 76936 is classified under Radiology Procedures, in the Diagnostic Ultrasound Procedures subgroup.
Echo Guide For Artery Repair, Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation Compression Of Lesion And Imaging)
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 76936 |
| Medicaid Fee Schedule | $212.78 median of the 8 states in the free preview · View Medicaid rates for 76936 |
National average reimbursement for CPT 76936 by major payers:
$306.08
BCBS / Anthem
$337.62
UnitedHealthcare
$299.00
Aetna
$396.36
Cigna
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CPT 76936
5 of 25 sample ratesHigher to lower in this preview
David Williams
Radiology Associates Of North Texas, PA
$695.65Published rateDaniel Blake
Northern Arizona Healthcare Corporation
$352.20Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$251.88Published rateChristopher Raio
Mercy Medical Center
$228.52Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$92.21Published rate
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See a sample payer proposalCPT 76936 vs. Other Diagnostic Ultrasound Procedures Codes
The table lists codes related to 76936. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76932-CPT | Low | Ultrasound-Guided Heart Biopsy, Heart Surgery That Uses Ultrasound (Sound Waves) Guidance To Remove A Sample Of Tissue For Testing (Biopsy). |
| 76936-CPT | Moderate | Echo Guide For Artery Repair, Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation Compression Of Lesion And Imaging) |
| 76937-CPT | Low | Us Guide Vascular Access, Ultrasound Guidance For Vascular Access Requiring Ultrasound Evaluation Of Potential Access Sites Documentation Of Selected Vessel Patency Concurrent Realtime Ultrasound Visualization Of Vascular Needle Entry With Permanent Recording And Reporting List Separately In Addition To Code For Primary Procedure |
| 77002-CPT | Low | X-Ray-Guided Needle Placement, Fluoroscopic Guidance Is Used To Place A Needle In A Precise Location. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76936. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76936 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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