CPT 01220: Anesthesia for Closed Procedure of Upper Two-Thirds of Femur
Commercial payers pay $78 on average nationally for this procedure.
CPT code 01220 describes anesthesia services provided for a patient undergoing a closed procedure of the upper two thirds of the femur (thigh bone); service type: anesthesia for orthopedic surgical procedure; typical site of service: operating room or ambulatory surgical center for femoral/thigh closed procedures.
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National Reimbursement Benchmarks
BUCA’s average commercial rate for CPT 01220 sits at $77.90 and provides a useful mid-market benchmark against the major national commercial carriers. Cigna posts a higher mean at $91.40 while Aetna ($80.80), Blue Cross Blue Shield ($75.70), and UnitedHealth Group ($67.90) cluster near BUCA; note Cigna’s higher median ($84.40) compared with others, indicating its central tendency is above the BUCA average.
Examining dispersion (P75 minus P25) highlights variability in contracted rates: Blue Cross Blue Shield’s interquartile range is $49.00 (P75 $100.20 minus P25 $51.80), Aetna’s is $62.30 (P75 $104.40 minus P25 $42.10), Cigna’s is $41.60 (P75 $108.20 minus P25 $67.60), BUCA’s is $41.20 (P75 $99.00 minus P25 $52.80), and UnitedHealth Group’s is $30.90 (P75 $81.10 minus P25 $52.00). UnitedHealth Group shows the tightest spread while Aetna shows the widest.