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See a sample rate comparisonCPT 01250 Fee Schedule
Last Verified: October 2026
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.
Anesthesia Leg Surgery, Anesthesia Services For Leg Surgery Involving The Tendons Nerves Muscles Or Other Connective Tissues.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Leg (Except Knee) |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None QX - Qualified nonphysician anesthetist service: With medical direction by a physician AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01250 |
National average anesthesia conversion factor for CPT 01250 by major payers:
$57.23
$55.74
$56.31
$54.24
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CPT 01250
5 of 25 sample ratesHigher to lower in this preview
Sharline Kashfian
$121.22Published rateSho Tanaka
$92.00Published rateLibing Wang
Newport Harbor Anesthesia Consultants Medical Group, Inc.
$69.00Published rateLichy Han
$65.00Published rateBlas Hernandez
$45.00Published rate
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See a sample payer proposalCPT 01250 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01250 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Leg (Except Knee). 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 01250 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 |
|---|---|---|
| 01220-CPT | Low | Anesthesia For The Thigh Bone, Anesthesia Services For A Procedure That Does Not Involve Breaking The Skin (Such As Resetting A Dislocation) Involving The Femur (Thigh Bone). |
| 01230-CPT | Moderate | Anesthe For Open Procs Invol Upper Two-Thirds Of Femur; No, Anesthesia For Open Procedures Involving Upper Two-Thirds Of Femur; No |
| 01232-CPT | Moderate | Anesthesia For Leg Amputation, Anesthesia Services For A Surgery To Amputate The Leg At The Upper Portion Of The Femur (Thigh Bone). |
| 01250-CPT | Low | Anesthesia Leg Surgery, Anesthesia Services For Leg Surgery Involving The Tendons Nerves Muscles Or Other Connective Tissues. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01250 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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