CPT 01320: Anesthesia for Procedures on Knee and Popliteal Area
Commercial payers pay $85 on average nationally for this procedure.
CPT code 01320 describes anesthesia services provided for procedures on the nerves, muscles, tendons, fascia, and bursae of the knee and/or popliteal area; service type is regional or general anesthesia for knee/popliteal procedures, and the typical site of service is an operating room or procedure suite involving the knee or popliteal region.
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National Reimbursement Benchmarks
Commercial reimbursement for CPT 01320 clusters around BUCA’s average commercial benchmark of $85.4, with variation across payers indicating different contracting dynamics. Blue Cross Blue Shield shows moderate dispersion (P25 $52 to P75 $103, range $51), Cigna displays a similar spread (P25 $67.6 to P75 $108.1, range $40.5), and Aetna has the widest interquartile spread (P25 $48 to P75 $163.8, range $115.8). UnitedHealth Group’s reimbursements are the tightest among these payers (P25 $52 to P75 $81.1, range $29.1), suggesting more consistent commercial pricing.
Looking at central tendency, Cigna ($91.4 mean, median $84.4) and Aetna ($122.4 mean, median $101.6) trend higher than BUCA’s average, while Blue Cross Blue Shield ($76.9 mean, median $67) and UnitedHealth Group ($67.8 mean, median $64) trend lower. Payer-specific max/min values further illustrate upper-end outliers for Aetna ($421.4 max, $30.4 min) and Cigna ($165.3 max, $48 min), reinforcing that Aetna exhibits the broadest full-range variability among the listed commercial payers.