CPT 00873 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Anesthesia • Anesthesia for Procedures on the Lower Abdomen |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00873 by major payers:
$58.37
$55.74
$56.41
$54.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00873 | ||||||
United | 00873 | $86.00 | 1720036080 - EDWARD PARK | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $83.00 | 1982081980 - MING-YUN TANG | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $65.00 | 1083816284 - ALIREZA FARROHI | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $61.00 | 1568880607 - JENNIFER WOODBURY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $121.22 | 1255726881 - SAMUEL HONG | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $113.00 | 1093376469 - ALEXANDER BETZ | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $99.00 | 1114173580 - NATALIE MORELAND | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $67.00 | 1013334143 - TOBECHI OKORONKWO | 454127530 | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $50.00 | 1467409664 - JUAN DE LA RIVA | 412209176 - (CA) SIERRA KINGS DENTAL SURGERY CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $63.00 | 1932100856 - MICHAEL NUSSBAUM | 330642223 - (CA) MICHAEL NUSSBAUM MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $83.00 | 1154337152 - JERRELL BROWN | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $90.00 | 1245611599 - JASMINE LIU | 850889913 - (TX) SOUND PHYSICIANS ANESTHESIOLOGY OF TEXAS PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $135.50 | 1386106565 - JOYCE HSIAO | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $78.00 | 1063867711 - BRIAN LIYANTO | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00873 | $99.00 | 1659573566 - RANA MOVAHEDI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 00873 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00873 code is part of the Anesthesia services used for Anesthesia for Procedures on the Lower Abdomen. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00873 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00873. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00873 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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