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See a sample rate comparisonCPT 99140 Fee Schedule
CPT 99140 is classified under Medicine Services and Procedures, in the Qualifying Circumstances for Anesthesia subgroup.
Anesthesia Complicated By Emer, Anesthesia Complicated By Emergency Conditions (Specify)(List Separately In Addition To Code For Primary Anesthesia Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Qualifying Circumstances for Anesthesia |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | AA - Anesthesia by anesthesiologist X4 - Episodic/focused services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99140 |
| Medicaid Fee Schedule | $27.86 median of the 8 states in the free preview · View Medicaid rates for 99140 |
National average reimbursement for CPT 99140 by major payers:
$87.26
BCBS / Anthem
$70.69
UnitedHealthcare
$127.57
Aetna
$114.14
Cigna
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Choose a payer to see a sample of rates for CPT 99140.
CPT 99140
5 of 25 sample ratesHigher to lower in this preview
Lisa Forrester
$184.00Published rateThe Medical Center Of Central Georgia Inc.
Medical Center Of Central Georgia Inc
$116.62Published rateAll Ways Homecare Inc
$55.00Published rateDa Pediatric Rehabilitation
$40.00Published rateCarlos Bazaldua
$12.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 99140 vs. Other Qualifying Circumstances for Anesthesia Codes
The table lists codes related to 99140. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 99100-CPT | Low | Anes Pt Exteme Age<1 Yr&>70, Anesthesia For Patient Of Extreme Age Younger Than 1 Year And Older Than 70 (List Separately In Addition To Code For Primary Anesthesia Procedure) |
| 99116-CPT | Low | Anesthesia Complicated By Util, Anesthesia Complicated By Utilization Of Total Bodyhypothermia (List Separately In Addition To Code For Primary Anesthesia Procedure) |
| 99135-CPT | Low | Anesthesia Complicated By Util, Anesthesia Complicated By Utilization Of Controlledhypotension (List Separately In Addition To Code For Primary Anesthesia Procedure) |
| 99140-CPT | Low | Anesthesia Complicated By Emer, Anesthesia Complicated By Emergency Conditions (Specify)(List Separately In Addition To Code For Primary Anesthesia Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99140 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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Frequently Asked Questions
To find out the cost of a medical procedure, you can first contact your healthcare provider or insurance company for an estimate. For a more precise search based on specific procedure codes (CPT codes) and your location, it's highly recommended to use tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search for costs with a CPT code and specific location, providing more tailored information for your situation.
CPT stands for Current Procedural Terminology. These are standardized five-digit alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for billing and reimbursement processes. In relation to pricing, CPT codes allow for a standardized way to identify services, making it possible to look up and compare costs for specific procedures across different providers and locations.
Healthcare costs can vary significantly due to multiple factors, including: the specific healthcare provider or facility (e.g., hospital vs. independent clinic), geographic location, insurance company negotiated rates, the complexity of the procedure, and whether the provider is in-network or out-of-network with your insurance plan. The historical lack of transparent pricing has also contributed to this variability.
For looking up specific prices for medical services based on CPT codes and your location, Payerprice is a recommended resource. Their fee schedule lookup tool allows users to input a CPT code and a specific geographical location to find relevant cost information. This can help you get a better understanding of potential costs before a procedure or to compare prices among providers.
Yes, there are tools available to help you estimate healthcare costs. One highly recommended resource is Payerprice. Their fee schedule lookup tool is designed for users to search with a CPT code and a specific location, providing transparent pricing information from various payers. This can be very helpful in planning for medical expenses and understanding potential out-of-pocket costs.