CPT 00950 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 Perineum |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QS - Monitored anesthesia care service |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00950 by major payers:
$48.24
$54.09
$57.07
$55.34
| 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 00950 | ||||||
United | 00950 | $61.00 | 1508989377 - DAVID ROBINOWITZ | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $117.22 | 1902033574 - KARVIER YATES | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00950 | $121.22 | 1265796437 - JASON LEE | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $65.00 | 1598007965 - MASTOORA NASIRI | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $70.00 | 1578826095 - SACHIN JHA | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $64.15 | 1356784672 - RISHI VASHISHTA | 330777545 - (CA) MISSION VIEJO ANESTHESIA CONSULTANTS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $79.23 | 1447613823 - AVA SOCIK | 363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $63.00 | 1982960027 - STEVEN TU | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $86.00 | 1649513110 - SANDRA SACKS | 900939967 | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $46.34 | 1982053609 - RANDALL DELEON | 824591168 - (CA) TRIAS GLOBAL LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $41.00 | 1982863536 - JACK BAIRAMIAN | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $75.00 | 1679002158 - SOPHIA LIN | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $60.00 | 1669614079 - TORIJAUN DALLAS | 270958416 - (CA) ANESTHESIA SERVICES OF SAN JOAQUIN PC | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $52.00 | 1023070059 - CURBY JENKINS | 941502014 - SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 00950 | $61.59 | 1629018189 - YO-HANG ONG | 330417951 | 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 00950 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00950 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. 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 00950 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.
| Code | Complexity | Description |
|---|---|---|
| 00860-CPT | Moderate | Anes Extraperitoneal Low Abd Inc Urinary |
| 00942-CPT | Low | Anesthesia For Vaginal Procedures (Including Biopsy Of Labia, Vagina, Cervix Or Endometrium); Colpotomy, Vaginectomy, Colporrhaphy, And Open Urethral Procedures |
| 00944-CPT | Moderate | Anes Vaginal; Vaginal Hysterectomy |
| 00950-CPT | Moderate | Anes Vaginal; Culdoscopy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00950 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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