CPT 00450: Anesthesia for Clavicle and Scapula Procedures
Commercial payers pay $85 on average nationally for this procedure.
CPT code 00450 describes anesthesia services provided for surgical procedures on the clavicle and scapula, indicating care during operations involving those upper-torso bones; the service type is general anesthesia for orthopedic procedures and the typical site of service is an operating room or procedural suite where clavicle or scapula surgery is performed.
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National Reimbursement Benchmarks
National commercial reimbursement for CPT 00450 centers on a BUCA average commercial rate of $85.50, with payer-specific medians and means varying notably. Blue Cross Blue Shield has a median of $63.80 and a mean of $70.20, Cigna’s median is $86 with a mean of $96.50, Aetna shows a median of $108 and a mean of $138.40, and UnitedHealth Group posts a median of $64 and a mean of $67.40. BUCA’s mean of $85.50 sits near the middle of this distribution, indicating average commercial expectations fall between lower BCBS/UnitedHealth Group levels and higher Aetna and Cigna levels.
Dispersion measured as the interquartile range (P75 − P25) highlights differences in rate variability: Aetna’s IQR is $140.50 ($189.30 − $48.00), Cigna’s IQR is $58.60 ($125.00 − $68.40), BUCA’s IQR is $58.70 ($112.60 − $53.30), Blue Cross Blue Shield’s IQR is $44.50 ($93.40 − $50.50), and UnitedHealth Group’s IQR is $27.90 ($80.90 − $52.00). UnitedHealth Group exhibits the tightest spread while Aetna shows the widest variation across the central 50% of commercial rates.