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See a sample rate comparisonHCPCS C8936 Fee Schedule
Last Verified: October 2026
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.
Magnetic resonance angiography without contrast followed by with contrast, upper extremity
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Magnetic Resonance Angiography, Spine and Upper Extremities |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C8936 |
National average reimbursement for HCPCS C8936 by major payers:
$52.16
$333.02
$425.24
$484.25
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HCPCS C8936
5 of 25 sample ratesHigher to lower in this preview
Rockdale Medical Center Inc., Rockdale Hospital
Piedmont Rockdale Hospital Inc
$954.63Published rateCrescent City Surgical Centre Operating Company, L.L.C.
Crescent City Surgical Centre
$752.17Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
Lcmc Health Holdings Inc
$714.72Published rateLafayette Surgical Hospital LLC, Lafayette Surgical Specialty Hospital
Lafayette Surgical Specialty Hospital
$544.69Published rateTouro Infirmary
$264.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS C8936 vs. Other Magnetic Resonance Angiography, Spine and Upper Extremities Codes
The HCPCS C8936 code is part of the Outpatient PPS services used for Magnetic Resonance Angiography, Spine and Upper Extremities. 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 HCPCS C8936 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 |
|---|---|---|
| C8935-HCPCS | Low | Magnetic resonance angiography without contrast, upper extremity |
| C8936-HCPCS | Low | Magnetic resonance angiography without contrast followed by with contrast, upper extremity |
| C8937-HCPCS | Low | Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (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 HCPCS C8936. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C8936 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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