CPT 01390: Anesthesia for Closed Procedure of Upper Tibia/Fibula/Patella
Commercial payers pay $81 on average nationally for this procedure.
CPT code 01390 describes anesthesia services provided for any closed procedure of the upper end of the tibia, fibula, and/or patella, typically reflecting intraoperative anesthesia management for procedures on the proximal tibia/fibula or patella; service type: anesthesia for closed orthopedic procedures; typical site of service: hospital operating room or ambulatory surgery center during knee-related closed procedures such as reductions, closed fracture management, or arthroscopy focused on the proximal tibial/fibular or patellar region.
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National Reimbursement Benchmarks
National commercial rates for CPT 01390 center near BUCA’s average commercial rate of $80.7, with notable variation among major carriers. Cigna’s mean of $96.1 sits above BUCA, while Blue Cross Blue Shield and Aetna have means of $81.7 and $74.5 respectively; UnitedHealth Group’s mean is lower at $68.3. Maximums and minimums vary by payer, but BUCA provides a convenient average commercial reference point at $80.7.
Dispersion (P75 minus P25) highlights where rates are most and least concentrated: Aetna’s dispersion is $58.0, Blue Cross Blue Shield’s is $46.7, BUCA’s is $44.1, Cigna’s is $46.6, and UnitedHealth Group’s is $31.4. UnitedHealth Group shows the tightest upper‑to‑lower quartile spread at $31.4, indicating the most concentrated commercial range, while Aetna is the widest at $58.0, reflecting greater variability between typical lower and upper commercial rates.