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See a sample rate comparisonCPT 01274 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 Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Leg (Except Knee) |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 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 01274 |
National average anesthesia conversion factor for CPT 01274 by major payers:
$54.22
$55.62
$56.95
$54.58
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CPT 01274
5 of 25 sample ratesHigher to lower in this preview
Robert Karoukian
$128.69Published rateCourtney Scott
$121.22Published rateKiavoush Nemati
Salem Health
$70.00Published rateDavid Liu
$61.00Published rateMichael Yang
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 01274 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01274 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 01274 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 |
|---|---|---|
| 01270-CPT | Moderate | Anesthesia Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots. |
| 01272-CPT | Low | Anesthesia Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots. |
| 01274-CPT | Moderate | Anesthesia Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots. |
| 01320-CPT | Low | Anesthesia For All Procedures, Anesthesia For All Procedures On Nerves Muscles Tendons Fascia And Bursae Of Knee Andor Popliteal Area |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01274 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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