CPT 00402: Anesthesia for Integumentary Procedures on Extremities/Trunk/Perineum
Commercial payers pay $105 on average nationally for this procedure.
CPT code 00402 describes anesthesia services for procedures on the integumentary system involving the extremities, anterior trunk, and perineum, including reconstructive surgeries of the breast; service type: anesthesia for integumentary and reconstructive procedures; typical site of service: operating room or procedure suite for surgical procedures on the extremities, anterior trunk, perineum, and breast reconstruction.
Customize your policy alerts
Sign up for cpt 00402 policy alerts
Get alerted when payer policies referencing 00402 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Commercial reimbursement for CPT 00402 centers around a BUCA average of $105.40, with individual payer means both above and below that midpoint. Aetna shows the highest dispersion and highest maximums, while Blue Cross Blue Shield and UnitedHealth Group sit toward lower mean levels; Cigna’s mean is nearer BUCA. Highlighting payers by spread, Aetna’s interquartile range (P75–P25) is $226.10, the widest, driven by a high P75 and relatively high P25. Blue Cross Blue Shield has a moderate spread of $38.50, Cigna’s spread is $58.60, and UnitedHealth Group is tighter at $30.90, indicating more consistency in allowed amounts from UnitedHealth Group compared with Aetna.
Comparative observations: Blue Cross Blue Shield and UnitedHealth Group present the tightest distributions, suggesting less variability in contracted rates, while Aetna exhibits substantial variability between the 25th and 75th percentiles. Cigna’s dispersion sits between these groups, and BUCA at $105.40 functions as the average commercial benchmark against which these payer patterns can be viewed.