| Code | Description | States | Median rate |
|---|---|---|---|
| 00100 | Anesthesia for salivary gland surgery | 14 | $27.46 |
| 00102 | Anesthesia for cleft lip repair | 12 | $34.94 |
| 00103 | Anesthesia for eyelid surgery (blepharoplasty) | 12 | $34.94 |
| 00104 | Anesthesia for electroconvulsive therapy | 13 | $37.75 |
| 00120 | Anesthesia for ear surgery, other | 12 | $34.94 |
| 00124 | Anesthesia for ear exam (otoscopy) | 12 | $34.94 |
| 00126 | Anesthesia for eardrum surgery (tympanotomy) | 12 | $34.94 |
| 00140 | Anesthesia for eye surgery, other | 12 | $34.94 |
| 00142 | Anesthesia for lens (cataract) surgery | 12 | $34.94 |
| 00144 | Anesthesia for corneal transplant | 12 | $34.94 |
| 00145 | Anesthesia for retina or vitreous surgery | 12 | $34.94 |
| 00147 | Anesthesia for iris surgery (iridectomy) | 11 | $32.12 |
| 00148 | Anesthesia for eye exam (ophthalmoscopy) | 12 | $34.94 |
| 00160 | Anesthesia for nose or sinus surgery, other | 12 | $34.94 |
| 00162 | Anesthesia for radical sinus surgery | 12 | $34.94 |
| 00164 | Anesthesia for nose soft tissue biopsy | 12 | $34.94 |
| 00170 | Anesthesia for mouth surgery, other | 14 | $37.75 |
| 00172 | Anesthesia for cleft palate repair | 12 | $34.94 |
| 00174 | Anesthesia for throat (retropharyngeal) tumor removal | 12 | $34.94 |
| 00176 | Anesthesia for radical mouth surgery | 12 | $34.94 |
| 00190 | Anesthesia for facial bone or skull surgery, other | 12 | $34.94 |
| 00192 | Anesthesia for radical facial bone surgery | 12 | $34.94 |
| 00210 | Anesthesia for brain surgery, other | 12 | $34.94 |
| 00211 | Anesthesia for brain surgery to remove a blood clot | 11 | $32.12 |
| 00212 | Anesthesia for subdural taps | 11 | $32.12 |
| 00214 | Anesthesia for skull burr holes | 12 | $34.94 |
| 00215 | Anesthesia for skull repair or depressed fracture | 12 | $34.94 |
| 00216 | Anesthesia for brain blood vessel surgery | 12 | $34.94 |
| 00218 | Anesthesia for brain surgery in the sitting position | 12 | $34.94 |
| 00220 | Anesthesia for brain fluid shunt surgery | 12 | $34.94 |
| 00222 | Anesthesia for brain nerve electrocoagulation | 12 | $34.94 |
| 00300 | Anesthesia for skin surgery, head, neck or back | 12 | $34.94 |
| 00320 | Anesthesia for neck organ surgery, age 1 and over | 12 | $34.94 |
| 00322 | Anesthesia for thyroid needle biopsy | 12 | $34.94 |
| 00326 | Anesthesia for voice box or windpipe surgery, under age 1 | 12 | $34.94 |
| 00350 | Anesthesia for major neck blood vessel surgery | 12 | $34.94 |
| 00352 | Anesthesia for simple neck vessel tying | 12 | $34.94 |
| 00400 | Anesthesia for skin surgery, front of trunk or perineum | 12 | $34.94 |
| 00402 | Anesthesia for breast reconstruction | 12 | $34.94 |
| 00404 | Anesthesia for radical mastectomy | 12 | $34.94 |
| 00406 | Anesthesia for radical mastectomy with chest node removal | 12 | $34.94 |
| 00410 | Anesthesia for electrical cardioversion | 14 | $44.17 |
| 00450 | Anesthesia for collarbone or shoulder blade surgery | 12 | $34.94 |
| 00454 | Anesthesia for collarbone biopsy | 12 | $34.94 |
| 00470 | Anesthesia for partial rib removal | 12 | $34.94 |
| 00472 | Anesthesia for chest wall collapse surgery (thoracoplasty) | 12 | $34.94 |
| 00474 | Anesthesia for radical rib removal | 12 | $34.94 |
| 00500 | Anesthesia for esophagus surgery | 12 | $34.94 |
| 00520 | Anesthesia for closed chest procedures, other | 12 | $34.94 |
| 00522 | Anesthesia for pleura needle biopsy | 12 | $34.94 |
| 00524 | Anesthesia for lung needle drainage | 12 | $34.94 |
| 00528 | Anesthesia for chest scope, no one-lung ventilation | 12 | $34.94 |
| 00529 | Anesthesia for chest scope with one-lung ventilation | 11 | $37.75 |
| 00530 | Anesthesia for pacemaker insertion | 12 | $34.94 |
| 00532 | Anesthesia for central venous access | 12 | $34.94 |
| 00534 | Anesthesia for defibrillator insertion or replacement | 12 | $34.94 |
| 00537 | Anesthesia for heart electrical study or ablation | 12 | $34.94 |
| 00539 | Anesthesia for airway reconstruction | 12 | $34.94 |
| 00540 | Anesthesia for open chest surgery, other | 12 | $34.94 |
| 00541 | Anesthesia for open chest surgery, one-lung ventilation | 12 | $34.94 |
| 00542 | Anesthesia for lung scar peel removal (decortication) | 12 | $34.94 |
| 00546 | Anesthesia for lung removal with chest wall collapse | 12 | $34.94 |
| 00548 | Anesthesia for windpipe or bronchus surgery in the chest | 12 | $34.94 |
| 00550 | Anesthesia for breastbone debridement | 12 | $34.94 |
| 00560 | Anesthesia for heart or great vessel surgery, no bypass | 12 | $34.94 |
| 00561 | Anesthesia for heart surgery with bypass, under age 1 | 12 | $34.94 |
| 00562 | Anesthesia for heart surgery with bypass, age 1 and over | 12 | $34.94 |
| 00563 | Anesthesia for heart surgery with bypass and cooled arrest | 12 | $34.94 |
| 00566 | Anesthesia for coronary bypass surgery, no pump | 12 | $34.94 |
| 00567 | Anesthesia for coronary bypass surgery with pump | 10 | $34.94 |
| 00580 | Anesthesia for heart or lung transplant | 12 | $34.94 |
| 00600 | Anesthesia for neck spine or spinal cord surgery, other | 12 | $34.94 |
| 00604 | Anesthesia for neck spine surgery in the sitting position | 12 | $34.94 |
| 00620 | Anesthesia for mid-back spine surgery, other | 12 | $34.94 |
| 00625 | Anesthesia for front mid-back spine surgery, no one-lung | 11 | $37.75 |
| 00626 | Anesthesia for front mid-back spine surgery, one-lung | 11 | $37.75 |
| 00630 | Anesthesia for lower back spine surgery, other | 12 | $34.94 |
| 00632 | Anesthesia for lumbar sympathectomy | 12 | $34.94 |
| 00635 | Anesthesia for lumbar puncture | 12 | $34.94 |
| 00640 | Anesthesia for spine manipulation or closed procedure | 12 | $34.94 |
| 00670 | Anesthesia for extensive spine surgery with instrumentation | 12 | $34.94 |
| 00700 | Anesthesia for upper front abdominal wall surgery, other | 12 | $34.94 |
| 00702 | Anesthesia for liver needle biopsy | 12 | $34.94 |
| 00730 | Anesthesia for upper back abdominal wall surgery | 12 | $34.94 |
| 00731 | Anesthesia for upper GI endoscopy, not ERCP | 12 | $34.94 |
| 00732 | Anesthesia for ERCP | 12 | $34.94 |
| 00750 | Anesthesia for upper abdominal hernia repair, other | 12 | $34.94 |
| 00752 | Anesthesia for flank or ventral hernia repair | 12 | $34.94 |
| 00754 | Anesthesia for omphalocele repair | 12 | $34.94 |
| 00756 | Anesthesia for diaphragm hernia repair through the abdomen | 12 | $34.94 |
| 00770 | Anesthesia for major abdominal blood vessel surgery | 12 | $34.94 |
| 00790 | Anesthesia for upper abdominal surgery | 12 | $34.94 |
| 00792 | Anesthesia for liver removal or liver injury surgery | 12 | $34.94 |
| 00794 | Anesthesia for pancreas removal | 12 | $34.94 |
| 00796 | Anesthesia for liver transplant, recipient | 12 | $34.94 |
| 00797 | Anesthesia for weight-loss stomach surgery | 12 | $34.94 |
| 00800 | Anesthesia for lower front abdominal wall surgery, other | 12 | $34.94 |
| 00802 | Anesthesia for belly skin and fat removal (panniculectomy) | 12 | $34.94 |
| 00811 | Anesthesia for lower GI endoscopy, other | 12 | $34.94 |
| 00812 | Anesthesia for screening colonoscopy | 12 | $34.94 |
| 00813 | Anesthesia for combined upper and lower GI endoscopy | 12 | $34.94 |
| 00820 | Anesthesia for lower back abdominal wall surgery | 12 | $34.94 |
| 00830 | Anesthesia for lower abdominal hernia repair, other | 12 | $34.94 |
| 00832 | Anesthesia for ventral or incisional hernia repair | 12 | $34.94 |
| 00834 | Anesthesia for lower abdominal hernia repair, under age 1 | 12 | $34.94 |
| 00836 | Anesthesia for hernia repair in a premature infant | 12 | $34.94 |
| 00840 | Anesthesia for lower abdominal surgery | 12 | $34.94 |
| 00842 | Anesthesia for amniocentesis | 12 | $34.94 |
| 00844 | Anesthesia for abdominoperineal rectum removal | 12 | $34.94 |
| 00846 | Anesthesia for radical hysterectomy | 12 | $34.94 |
| 00848 | Anesthesia for pelvic organ removal (exenteration) | 12 | $34.94 |
| 00851 | Anesthesia for tubal ligation | 12 | $34.94 |
| 00860 | Anesthesia for lower abdominal surgery outside the cavity | 12 | $34.94 |
| 00862 | Anesthesia for kidney surgery or donor kidney removal | 12 | $34.94 |
| 00864 | Anesthesia for complete bladder removal | 12 | $34.94 |
| 00865 | Anesthesia for radical prostate removal | 12 | $34.94 |
| 00866 | Anesthesia for adrenal gland removal | 12 | $34.94 |
| 00868 | Anesthesia for kidney transplant, recipient | 12 | $34.94 |
| 00870 | Anesthesia for open bladder stone removal | 12 | $34.94 |
| 00872 | Anesthesia for shock wave stone treatment with water bath | 12 | $34.94 |
| 00873 | Anesthesia for shock wave stone treatment, no water bath | 12 | $34.94 |
| 00880 | Anesthesia for major lower abdominal vessel surgery | 12 | $34.94 |
| 00882 | Anesthesia for vena cava tying | 12 | $34.94 |
| 00902 | Anesthesia for anorectal surgery | 12 | $34.94 |
| 00904 | Anesthesia for radical perineal surgery | 12 | $34.94 |
| 00906 | Anesthesia for vulva removal | 12 | $34.94 |
| 00908 | Anesthesia for perineal prostate removal | 12 | $34.94 |
| 00910 | Anesthesia for surgery through the urethra, other | 12 | $34.94 |
| 00912 | Anesthesia for bladder tumor removal through the urethra | 12 | $34.94 |
| 00914 | Anesthesia for prostate removal through the urethra (TURP) | 12 | $34.94 |
| 00916 | Anesthesia for bleeding after urethral surgery | 12 | $34.94 |
| 00918 | Anesthesia for ureter stone removal with lithotripsy | 12 | $34.94 |
| 00920 | Anesthesia for male genital surgery, other | 12 | $34.94 |
| 00921 | Anesthesia for vasectomy | 11 | $34.94 |
| 00922 | Anesthesia for seminal vesicle surgery | 12 | $34.94 |
| 00924 | Anesthesia for undescended testicle surgery | 12 | $34.94 |
| 00926 | Anesthesia for radical testicle removal, groin approach | 12 | $34.94 |
| 00928 | Anesthesia for radical testicle removal, abdominal | 12 | $34.94 |
| 00930 | Anesthesia for testicle fixation (orchiopexy) | 12 | $34.94 |
| 00932 | Anesthesia for complete penis removal | 12 | $34.94 |
| 00934 | Anesthesia for penis removal with groin nodes | 12 | $34.94 |
| 00936 | Anesthesia for penis removal with groin and pelvic nodes | 12 | $34.94 |
| 00940 | Anesthesia for vaginal surgery, other | 14 | $34.94 |
| 00942 | Anesthesia for vaginal wall or open urethra surgery | 12 | $34.94 |
| 00944 | Anesthesia for vaginal hysterectomy | 12 | $34.94 |
| 00948 | Anesthesia for cervix stitch (cerclage) | 12 | $34.94 |
| 00950 | Anesthesia for culdoscopy | 12 | $34.94 |
| 00952 | Anesthesia for hysteroscopy or tube X-ray | 12 | $34.94 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.