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See a sample rate comparisonCPT 00604 Fee Schedule
CPT 00604 is classified under Anesthesia, in the Anesthesia for Procedures on the Spine and Spinal Cord subgroup.
Anes Px Crv Spn&Cord Sitting, Anesthesia For Procedures On Cervical Spine And Cord; Procedures With Patient In The Sitting Position
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Spine and Spinal Cord |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00604 |
National average anesthesia conversion factor for CPT 00604 by major payers:
$60.49
BCBS / Anthem
$71.63
UnitedHealthcare
$65.86
Aetna
$55.74
Cigna
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CPT 00604
5 of 25 sample ratesHigher to lower in this preview
Macgregor Hodgson
$128.69Published rateLei Wang
Anesthesia Service Medical Group, Inc.
$84.66Published rateMichael Tom
Usc Care Medical Group Inc
$69.62Published rateMichael Perez
$60.00Published rateRobert Salazar
Robert G. Salazar, M.D., Inc.
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00604 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The table lists codes related to 00604. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00600-CPT | Moderate | Anesthe For Procs On Cervcal Spine & Cord; Not Otherwise Sp, Anesthesia For Procedures On Cervical Spine And Cord; Not Otherwise Sp |
| 00604-CPT | Moderate | Anes Px Crv Spn&Cord Sitting, Anesthesia For Procedures On Cervical Spine And Cord; Procedures With Patient In The Sitting Position |
| 00620-CPT | Moderate | Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance. |
| 00630-CPT | Moderate | Anesthesia Low Back Procedure, Anesthesia Services For A Procedure On The Lower Back Such As A Lumbar Puncture Herniated Disk Surgery Or Spinal Nerve Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00604. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00604 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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