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CPT 01967 Fee Schedule

Last Verified: November 2025

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.

Neuraxial Labor Analgesia/Anesthesia For Planned Vaginal Delivery (This Includes Any Repeat Subarachnoid Needle Placement And Drug Injection And/Or Any Necessary Replacement Of An Epidural Catheter During Labor)
Key FactDetail
Service Type

Anesthesia

Anesthesia for Obstetric Procedures

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

23 - Emergency Room

Common Modifiers

None

AA - Anesthesia by anesthesiologist

QZ - CRNA service; without medical direction by a physician

Complexity LevelModerate

National average anesthesia conversion factor for CPT 01967 by major payers:

bcbs

$75.30

uhc

$55.77

aetna

$65.89

cigna

$90.31

Preview provider-level rates for...
For billing codeCPT 01967
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 01967

United
01967$85.001619969862 - DAVID HAMMER391678306 - AURORA MEDICAL GROUP INCWIAnesthesiology Physician (207L00000X)
United
01967$50.001972582567 - KENNETH HEERINGA390808509 - THE MONROE CLINIC INCWIAnesthesiology Physician (207L00000X)
United
01967$85.001295700979 - RAMA KUCHIPUDI851035186 - (VA) DOGWOOD ANESTHESIA PROVIDERS LLCFLAnesthesiology Physician (207L00000X)
United
01967$104.001730162223 - MICHAEL KUHN391678306 - AURORA MEDICAL GROUP INCWIAnesthesiology Physician (207L00000X)
United
01967$50.001922486976 - STEVEN ETHIER381357020 - HENRY FORD HEALTH SYSTEMMIAnesthesiology Physician (207L00000X)
United
01967$130.001093886145 - HALEY OWEN391678306 - AURORA MEDICAL GROUP INCWIAnesthesiology Physician (207L00000X)
United
01967$60.001487652517 - CHRISTINE BIEDERMANN391824445 - UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INCWIAnesthesiology Physician (207L00000X)
United
01967$58.701407411226 - ALIASGHAR ARASTU363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATESWIAnesthesiology Physician (207L00000X)
United
01967$130.001609175009 - BRYAN SIMMONS391678306 - AURORA MEDICAL GROUP INCWIAnesthesiology Physician (207L00000X)
United
01967$55.791891783536 - KARL ORTH481299029 - (WI) ASSOCIATION OF HOSPITAL ANESTHESIOLOGISTS, S.C.WIAnesthesiology Physician (207L00000X)
United
01967$40.001639464290 - BRIAN CRENSHAW208115693 - (WI) ARC OF LIFE MEDICAL CENTER LLCWIAnesthesiology Physician (207L00000X)
United
01967$81.001972778389 - MARIA FUERTES810977948 - MCHS HOSPITALS INCTNAnesthesiology Physician (207L00000X)
United
01967$36.001982687810 - GREGORY DOWNS391791586 - (WI) ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INCWIAnesthesiology Physician (207L00000X)
United
01967$92.001184252199 - ZACHARY PAQUETTE411404075 - MAYO CLINICWIAnesthesiology Physician (207L00000X)
United
01967$57.431477728475 - KRISHNA MUDIMBI362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONWIAnesthesiology Physician (207L00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 01967 vs. Other Anesthesia for Obstetric Procedures Codes

The CPT 01967 code is part of the Anesthesia services used for Anesthesia for Obstetric Procedures. 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 01967 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.

CodeComplexityDescription
01960-CPTModerateAnesthesia For; Vaginal Delivery Only
01961-CPTModerateAnesthesia For; Cesarean Delivery Only
01966-CPTLowAnesthesia For Induced Abortion Procedures
01967-CPTModerateNeuraxial Labor Analgesia/Anesthesia For Planned Vaginal Delivery (This Includes Any Repeat Subarachnoid Needle Placement And Drug Injection And/Or Any Necessary Replacement Of An Epidural Catheter During Labor)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01967. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 01967 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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