CPT 01232: Anesthesia for Amputation of Upper Femur
Commercial payers pay $71 on average nationally for this procedure.
CPT code 01232 describes anesthesia services provided for an amputation or removal of the leg at the upper two thirds of the femur (thigh) and represents intraoperative anesthesia care for an open major lower-extremity amputation; typical service type is anesthesia for major lower-extremity surgery and the usual site of service is an inpatient operating room or surgical suite for a high-complexity amputation procedure.
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National Reimbursement Benchmarks
BUCA’s average commercial rate for CPT 01232 sits at $71.00, representing a middle point in the national landscape. Among individual payers, Cigna posts the highest mean at $96.50 while Blue Cross Blue Shield’s mean is $64.80, Aetna’s mean is $67.40, and UnitedHealth Group’s mean is $67.60. This spread places BUCA slightly above BCBS and on par with Aetna/UnitedHealth Group in average payment level, with Cigna notably higher than the other listed commercial payers.
Dispersion measured as the interquartile difference (P75 minus P25) varies materially: Aetna’s IQR is $48.70, Blue Cross Blue Shield’s is $36.40, BUCA’s is $45.30, Cigna’s is $58.60, and UnitedHealth Group’s is $29.00. UnitedHealth Group exhibits the tightest interquartile spread at $29.00, indicating the least mid-distribution variability, while Cigna is the widest at $58.60, showing the greatest variability across commercial contracts.