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See a sample rate comparisonCPT 00404 Fee Schedule
CPT 00404 is classified under Anesthesia, in the Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) subgroup.
Anesthesia For Breast Surgery, Anesthesia Services For Surgery To Remove Abnormal Tissue From A Breast Or To Remove All Or Part Of A Breast. Procedures May Involve The Interior Structure Of A Breast As Well As Nearby Tissues.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00404 |
National average anesthesia conversion factor for CPT 00404 by major payers:
$60.50
BCBS / Anthem
$71.63
UnitedHealthcare
$65.86
Aetna
$54.41
Cigna
Compare published rates across providers.
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CPT 00404
5 of 25 sample ratesHigher to lower in this preview
Ali Mehdizadeh
Faculty Physicians And Surgeons Of Llusm
$135.50Published rateMark Brown
El Camino Anesthesia
$80.00Published rateAmy Lu
$61.00Published rateGary Grimes
$52.00Published rateMonique Tu
Alvarado Physicians Medical Group
$34.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00404 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The table lists codes related to 00404. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00400-CPT | Low | Anesth Skin Ext Per Atrunk, Anesthesia For Procedures On The Integumentary System On The Extremities Anterior Trunk And Perineum Not Otherwise Specified |
| 00402-CPT | Moderate | Anes Integ Sys Rcnstv Breast, Anesthesia For Procedures On The Integumentary System On The Extremities Anterior Trunk And Perineum; Reconstructive Procedures On Breast (Eg Reduction Or Augmentation Mammoplasty Muscle Flaps) |
| 00404-CPT | Moderate | Anesthesia For Breast Surgery, Anesthesia Services For Surgery To Remove Abnormal Tissue From A Breast Or To Remove All Or Part Of A Breast. Procedures May Involve The Interior Structure Of A Breast As Well As Nearby Tissues. |
| 00410-CPT | Low | Anesth Correct Heart Rhythm, Anesthesia For Procedures On The Integumentary System On The Extremities Anterior Trunk And Perineum Electrical Conversion Of Arrhythmias |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00404 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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