CPT 01430 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 Knee and Popliteal Area |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office • 21 - Inpatient Hospital |
| Common Modifiers | • QK - Medical direction of two, three or four concurrent anesthesia procedures • QS - Monitored anesthesia care service • None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01430 |
National average anesthesia conversion factor for CPT 01430 by major payers:
$51.36
$54.10
$56.12
$22.11
| 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 01430 | ||||||
United | 01430 | $65.00 | 1871603696 - RONG GAN | 770414846 - (CA) MODESTO ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $61.00 | 1235187345 - CHANHUNG LEE | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $121.22 | 1801259320 - LINDA LI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $113.00 | 1053321562 - CHARLES WANG | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $78.00 | 1790941870 - RACHEL OUTTERSON | 1790941870 - (CA) RACHEL OUTTERSON | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $44.00 | 1396923017 - REBECCA LYNN GILBERT MD INC. | 261731046 - (CA) REBECCA LYNN GILBERT MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $25.00 | 1730145186 - AMIR IBRAHIM | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $38.00 | 1225542806 - JOHN E. HEESS M.D. INC. | 651230814 - (CA) JOHN E HEESS MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $35.00 | 1336646785 - WENLI MA | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $99.00 | 1669412185 - VICTOR DUVAL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $57.50 | 1073704300 - ZARAH ANTONGIORGI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $65.00 | 1467624908 - BRIAN KEEFER | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $88.00 | 1497068829 - JACQUELINE DONOVAN | 141338310 - ALBANY MEDICAL COLLEGE | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $79.19 | 1699716282 - CHARLES ANDERSON | 931048304 - (OR) BEND ANESTHESIOLOGY GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01430 | $57.50 | 1538302856 - MICHELLE HARVEY | 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 01430 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01430 code is part of the Anesthesia services used for Anesthesia for Procedures on the Knee and Popliteal Area. 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 01430 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 01430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01430 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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