CPT 01654: Anesthesia for Bypass Graft of Shoulder/Axilla Arteries
Commercial payers pay $66 on average nationally for this procedure.
CPT code 01654 describes anesthesia services provided for a patient undergoing a bypass graft procedure on the arteries of the shoulder and axilla; service type: anesthesia for vascular bypass surgery on the upper extremity/shoulder girdle; typical site of service: operating room or surgical suite in an acute care hospital or ambulatory surgical center.
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National Reimbursement Benchmarks
National commercial rates for CPT 01654 cluster around BUCA’s average commercial benchmark of $66.5, with notable variation across major payers. Blue Cross Blue Shield shows a wide distribution (P75–P25 = $75.2 - $41.7 = $33.5), while Cigna’s distribution is similarly broad (P75–P25 = $120.0 - $67.9 = $52.1), driven by a high mean and high upper-percentile values. Aetna and UnitedHealth Group present tighter spreads: Aetna’s P75–P25 = $72.0 - $42.0 = $30.0 and UnitedHealth Group’s P75–P25 = $80.9 - $51.4 = $29.5, indicating relatively more concentrated commercial reimbursement ranges.
Median and mean positioning further differentiates payers: Cigna’s median of $85.7 and mean of $93.7 sit well above BUCA’s $66.5 average, while Blue Cross Blue Shield and UnitedHealth Group medians ($51.5 and $63.7) are closer to BUCA. Aetna’s median of $48.0 is below BUCA, and both Blue Cross Blue Shield and Aetna have higher maximums ($187.3 and $137.3) suggesting occasional outlier contractual rates. These differences underscore payer-specific dispersion and central tendency in commercial reimbursements for this CPT.