CPT 00176: Anesthesia for Intraoral Procedure, Biopsy or Radical Surgery
Commercial payers pay $78 on average nationally for this procedure.
CPT code 00176 describes anesthesia services provided for an intraoral surgical procedure, such as biopsy or radical surgery, delivered in an operating room or procedure suite; the service type is anesthesia for intraoral surgery and the typical site of service is hospital operating room or ambulatory surgery center.
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National Reimbursement Benchmarks
Commercial reimbursement for CPT 00176 centers on BUCA as the average commercial benchmark at $77.60. Blue Cross Blue Shield average reimbursement sits lower than BUCA with a mean of $71.30, while Aetna and Cigna show higher mean levels at $90.10 and $94.20 respectively. UnitedHealth Group averages $67.30, so payers span a moderate range above and below the BUCA average.
Dispersion measured by the interquartile spread (P75 minus P25) highlights variation across payers: Aetna’s IQR is $68.90, Cigna’s is $54.40, BUCA’s is $44.80, Blue Cross Blue Shield’s is $37.70, and UnitedHealth Group’s is $27.60. Aetna exhibits the widest middle-half dispersion and UnitedHealth Group the tightest, indicating more concentrated reimbursed amounts for UnitedHealth Group and more variability for Aetna.