CPT 01472: Anesthesia for Lower Leg/Ankle/Foot (Achilles Repair)
Commercial payers pay $80 on average nationally for this procedure.
CPT code 01472 describes anesthesia services for surgical procedures on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, specifically including repair of a ruptured Achilles tendon with or without graft; service type: anesthesia for lower extremity soft-tissue and tendon surgery; typical site of service: inpatient or outpatient surgical settings (operating room) where lower leg/ankle/foot procedures are performed.
Customize your policy alerts
Sign up for cpt 01472 policy alerts
Get alerted when payer policies referencing 01472 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Commercial reimbursement for CPT 01472 centers near the BUCA average commercial rate of $80.40, with notable variation across major carriers. Blue Cross Blue Shield and UnitedHealth Group exhibit relatively tight dispersion (BCBS P75–P25 = $36.00; UnitedHealth P75–P25 = $28.90), indicating more consistent middle-range payments, while Aetna and Cigna show wider spreads (Aetna P75–P25 = $108.10; Cigna P75–P25 = $55.00), reflecting greater variability between lower and higher commercial rates. BUCA’s interquartile band spans $49.20, placing it between the narrowest and widest payers.
Maximum and minimum extremes differ by carrier: Aetna reaches as high as $364.00 and as low as $30.30, while Cigna’s range tops at $159.20 and bottoms at $46.90. Blue Cross Blue Shield’s central tendency sits below BUCA’s mean, and UnitedHealth’s median is close to its mean, underscoring comparatively stable contracting around the midpoints for those payers.