CPT 01742: Anesthesia for Humerus Osteotomy
Commercial payers pay $70 on average nationally for this procedure.
CPT code 01742 describes anesthesia services provided for a patient undergoing an osteotomy of the humerus, a surgical excision or cutting of the upper-arm long bone; the service type is anesthesia for upper arm/shoulder surgical procedures and the typical site of service is an operating room or surgical suite where orthopedic humeral surgery is performed.
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National Reimbursement Benchmarks
National commercial rates for CPT 01742 center near BUCA’s average commercial rate of $69.90, with notable variation across major insurers. Cigna and Blue Cross Blue Shield show higher central tendencies ($96.50 mean for Cigna; $65.10 mean for Blue Cross Blue Shield) while Aetna ($60.30 mean) and UnitedHealth Group ($67.40 mean) cluster closer to BUCA. Minima and maxima vary by payer, with Aetna’s values spanning $31 to $148 and UnitedHealth Group’s top end at $122.70; BUCA is presented as an average commercial benchmark at $69.90.
Dispersion measured by the interquartile range (P75–P25) is widest for Cigna at $58.60 (P75 $125.00 minus P25 $68.40), followed by BUCA at $38.30, Blue Cross Blue Shield at $36.40, and UnitedHealth Group at $28.90. Aetna shows the tightest IQR at $33.20, indicating relatively less variability in mid-distribution rates compared with Cigna’s broader spread.