CPT 01730 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 Upper Arm and Elbow |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • P1 - A normal healthy patient • AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01730 by major payers:
$57.02
$55.69
$55.41
$18.17
| 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 01730 | ||||||
United | 01730 | $69.62 | 1891741989 - LINDA REVER | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $57.50 | 1013220128 - BIJAN NAVIDI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $49.00 | 1013927110 - MICHAEL TRAN | 270657857 - (CA) ACADIA PAIN MANAGEMENT GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $84.66 | 1922426998 - ANNA JACKSON | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01730 | $70.00 | 1164719563 - AMIT SAXENA | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $80.00 | 1053639591 - SILVESTER KAGUNYE | 852103299 - (CA) COMMUNITY HEALTH PARTNERS | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $57.50 | 1649346164 - JENNIFER LUCERO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $56.00 | 1316254840 - LAWRENCE ONG | 882872979 - (CA) VALLEY REGIONAL ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $121.22 | 1285674986 - RICHARD RUFFALO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $65.00 | 1679548457 - DONG YANG | 270006226 - (CA) DONG YAN YANG MDINC | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $67.09 | 1396701017 - RICHARD ROWE | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $55.00 | 1821452293 - ISABEL CHANG | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $121.22 | 1073566428 - GREGORY JUAREZ | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $63.00 | 1659715019 - MARY YURASHEVICH | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | CA | Anesthesiology Physician (207L00000X) |
United | 01730 | $30.59 | 1740576875 - MARLENE BARNHOUSE | 870737749 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
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 01730 vs. Other Anesthesia for Procedures on the Upper Arm and Elbow Codes
The CPT 01730 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Arm and Elbow. 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 01730 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 |
|---|---|---|
| 01710-CPT | Low | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Not Otherwise Specified |
| 01714-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Tenoplasty, Elbow To Shoulder |
| 01716-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Tenodesis, Rupture Of Long Tendon Of Biceps |
| 01730-CPT | Low | Anes Humerus And Elbow Closed Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01730 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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