| Code | Description | States | Median rate |
|---|---|---|---|
| 01112 | Anesthesia for hip bone marrow biopsy | 12 | $34.94 |
| 01120 | Anesthesia for pelvic bone surgery | 12 | $34.94 |
| 01130 | Anesthesia for body cast application or revision | 12 | $34.94 |
| 01140 | Anesthesia for hindquarter amputation | 12 | $34.94 |
| 01150 | Anesthesia for radical pelvic tumor surgery | 12 | $34.94 |
| 01160 | Anesthesia for closed pelvis or sacroiliac procedures | 12 | $34.94 |
| 01170 | Anesthesia for open pelvis or sacroiliac surgery | 12 | $34.94 |
| 01173 | Anesthesia for open hip socket fracture repair | 12 | $34.94 |
| 01200 | Anesthesia for closed hip joint procedures | 12 | $34.94 |
| 01202 | Anesthesia for hip arthroscopy | 12 | $34.94 |
| 01210 | Anesthesia for open hip joint surgery, other | 12 | $34.94 |
| 01212 | Anesthesia for hip disarticulation | 12 | $34.94 |
| 01214 | Anesthesia for total hip replacement | 12 | $34.94 |
| 01215 | Anesthesia for revision of a total hip replacement | 12 | $34.94 |
| 01220 | Anesthesia for closed upper thigh bone procedures | 12 | $34.94 |
| 01230 | Anesthesia for open upper thigh bone surgery | 12 | $34.94 |
| 01232 | Anesthesia for thigh amputation | 12 | $34.94 |
| 01234 | Anesthesia for radical thigh bone surgery | 12 | $34.94 |
| 01250 | Anesthesia for upper leg surgery, other | 12 | $34.94 |
| 01260 | Anesthesia for upper leg vein surgery | 12 | $34.94 |
| 01270 | Anesthesia for upper leg artery surgery, other | 12 | $34.94 |
| 01272 | Anesthesia for femoral artery tying | 12 | $34.94 |
| 01274 | Anesthesia for femoral artery clot removal | 12 | $34.94 |
| 01320 | Anesthesia for knee area vein surgery | 12 | $34.94 |
| 01340 | Anesthesia for closed lower thigh bone procedures | 12 | $34.94 |
| 01360 | Anesthesia for open lower thigh bone surgery | 12 | $34.94 |
| 01380 | Anesthesia for closed knee joint procedures | 12 | $34.94 |
| 01382 | Anesthesia for knee arthroscopy | 12 | $34.94 |
| 01390 | Anesthesia for closed upper shin or kneecap procedures | 12 | $34.94 |
| 01392 | Anesthesia for open upper shin or kneecap surgery | 12 | $34.94 |
| 01400 | Anesthesia for open knee joint surgery, other | 12 | $34.94 |
| 01402 | Anesthesia for total knee replacement | 12 | $34.94 |
| 01404 | Anesthesia for amputation at the knee | 12 | $34.94 |
| 01420 | Anesthesia for knee cast application | 12 | $34.94 |
| 01430 | Anesthesia for knee area vein surgery, other | 12 | $34.94 |
| 01432 | Anesthesia for knee area artery-vein fistula | 12 | $34.94 |
| 01440 | Anesthesia for knee area artery surgery, other | 12 | $34.94 |
| 01442 | Anesthesia for popliteal artery plaque removal with patch | 12 | $34.94 |
| 01444 | Anesthesia for popliteal artery graft or aneurysm repair | 12 | $34.94 |
| 01462 | Anesthesia for closed lower leg, ankle or foot procedures | 12 | $34.94 |
| 01464 | Anesthesia for ankle or foot arthroscopy | 12 | $34.94 |
| 01470 | Anesthesia for open lower leg, ankle or foot surgery | 12 | $34.94 |
| 01472 | Anesthesia for Achilles tendon repair | 12 | $34.94 |
| 01474 | Anesthesia for calf muscle release | 12 | $34.94 |
| 01480 | Anesthesia for open lower leg, ankle or foot bone surgery | 12 | $34.94 |
| 01482 | Anesthesia for radical lower leg or foot bone surgery | 12 | $34.94 |
| 01484 | Anesthesia for shin or fibula bone cut | 12 | $34.94 |
| 01486 | Anesthesia for total ankle replacement | 12 | $34.94 |
| 01490 | Anesthesia for lower leg cast application | 12 | $34.94 |
| 01500 | Anesthesia for lower leg artery surgery, other | 12 | $34.94 |
| 01502 | Anesthesia for lower leg artery clot removal | 12 | $34.94 |
| 01520 | Anesthesia for lower leg vein surgery, other | 12 | $34.94 |
| 01522 | Anesthesia for lower leg vein clot removal | 12 | $34.94 |
| 01610 | Anesthesia for shoulder or armpit surgery, other | 12 | $34.94 |
| 01620 | Anesthesia for closed shoulder joint procedures | 12 | $34.94 |
| 01622 | Anesthesia for shoulder arthroscopy | 12 | $34.94 |
| 01630 | Anesthesia for open shoulder surgery, other | 12 | $34.94 |
| 01634 | Anesthesia for shoulder disarticulation | 12 | $34.94 |
| 01636 | Anesthesia for forequarter amputation | 12 | $34.94 |
| 01638 | Anesthesia for total shoulder replacement | 12 | $34.94 |
| 01650 | Anesthesia for shoulder or armpit artery surgery, other | 12 | $34.94 |
| 01652 | Anesthesia for armpit artery aneurysm repair | 12 | $34.94 |
| 01654 | Anesthesia for shoulder or armpit bypass graft | 12 | $34.94 |
| 01656 | Anesthesia for armpit-to-femoral bypass graft | 12 | $34.94 |
| 01670 | Anesthesia for shoulder or armpit vein surgery | 12 | $34.94 |
| 01680 | Anesthesia for shoulder cast application | 12 | $34.94 |
| 01710 | Anesthesia for open elbow surgery, other | 12 | $34.94 |
| 01712 | Anesthesia for elbow tendon surgery | 12 | $34.94 |
| 01714 | Anesthesia for elbow-to-shoulder tendon surgery | 12 | $34.94 |
| 01716 | Anesthesia for biceps tendon surgery | 12 | $34.94 |
| 01730 | Anesthesia for closed upper arm or elbow procedures | 12 | $34.94 |
| 01732 | Anesthesia for elbow arthroscopy | 12 | $34.94 |
| 01740 | Anesthesia for open upper arm or elbow surgery, other | 12 | $34.94 |
| 01742 | Anesthesia for upper arm bone cut | 12 | $34.94 |
| 01744 | Anesthesia for non-healing upper arm fracture repair | 12 | $34.94 |
| 01756 | Anesthesia for radical upper arm bone surgery | 12 | $34.94 |
| 01758 | Anesthesia for upper arm bone cyst or tumor removal | 12 | $34.94 |
| 01760 | Anesthesia for total elbow replacement | 12 | $34.94 |
| 01770 | Anesthesia for upper arm or elbow artery surgery, other | 12 | $34.94 |
| 01772 | Anesthesia for upper arm artery clot removal | 12 | $34.94 |
| 01780 | Anesthesia for upper arm or elbow vein surgery, other | 12 | $34.94 |
| 01782 | Anesthesia for upper arm vein repair | 12 | $34.94 |
| 01810 | Anesthesia for forearm, wrist or hand surgery, other | 12 | $34.94 |
| 01820 | Anesthesia for closed forearm, wrist or hand bone procedures | 12 | $34.94 |
| 01829 | Anesthesia for wrist arthroscopy | 12 | $34.94 |
| 01830 | Anesthesia for open forearm, wrist or hand bone surgery | 12 | $34.94 |
| 01832 | Anesthesia for total wrist replacement | 12 | $34.94 |
| 01840 | Anesthesia for forearm, wrist or hand artery surgery | 12 | $34.94 |
| 01842 | Anesthesia for forearm artery clot removal | 12 | $34.94 |
| 01844 | Anesthesia for forearm dialysis access surgery | 12 | $34.94 |
| 01850 | Anesthesia for forearm, wrist or hand vein surgery | 12 | $34.94 |
| 01852 | Anesthesia for forearm vein repair | 12 | $34.94 |
| 01860 | Anesthesia for forearm, wrist or hand cast application | 12 | $34.94 |
| 01916 | Anesthesia for diagnostic artery or vein X-ray with dye | 12 | $34.94 |
| 01920 | Anesthesia for heart catheterization | 12 | $34.94 |
| 01922 | Anesthesia for MRI or CT imaging | 12 | $34.94 |
| 01924 | Anesthesia for artery catheter treatment, not prone | 12 | $34.94 |
| 01925 | Anesthesia for coronary or heart catheter treatment | 12 | $34.94 |
| 01926 | Anesthesia for brain, heart or aorta catheter treatment | 12 | $34.94 |
| 01930 | Anesthesia for vein or lymph catheter treatment, not prone | 12 | $34.94 |
| 01931 | Anesthesia for TIPS liver shunt | 12 | $34.94 |
| 01932 | Anesthesia for chest or jugular vein catheter treatment | 12 | $34.94 |
| 01933 | Anesthesia for brain vein catheter treatment | 12 | $34.94 |
| 01937 | Anesthesia for neck or mid-back spine injection, diagnostic | 11 | $32.12 |
| 01938 | Anesthesia for neck or mid-back spine injection, treatment | 11 | $32.12 |
| 01939 | Anesthesia for lower back spine injection, diagnostic | 10 | $34.94 |
| 01940 | Anesthesia for lower back spine injection, treatment | 11 | $32.12 |
| 01941 | Anesthesia for neck or mid-back nerve destruction | 11 | $32.12 |
| 01942 | Anesthesia for lower back nerve destruction | 11 | $32.12 |
| 01951 | Anesthesia for burn surgery, under 4% of body | 12 | $34.94 |
| 01952 | Anesthesia for burn surgery, 4% to 9% of body | 12 | $34.94 |
| 01953 | Anesthesia for burn surgery, each added 9% of body | 12 | $22.08 |
| 01958 | Anesthesia for turning a breech baby (external version) | 10 | $37.75 |
| 01960 | Anesthesia for vaginal delivery only | 14 | $37.75 |
| 01961 | Anesthesia for cesarean delivery | 15 | $72.79 |
| 01962 | Anesthesia for urgent hysterectomy after delivery | 12 | $34.94 |
| 01963 | Anesthesia for cesarean hysterectomy, no labor epidural | 12 | $34.94 |
| 01965 | Anesthesia for incomplete or missed miscarriage | 12 | $34.94 |
| 01966 | Anesthesia for induced abortion | 12 | $34.94 |
| 01967 | Anesthesia for planned vaginal delivery (epidural) | 21 | $161.57 |
| 01968 | Anesthesia for cesarean after planned vaginal delivery (add-on) | 16 | $34.21 |
| 01969 | Anesthesia for cesarean hysterectomy after labor epidural | 15 | $37.75 |
| 01991 | Anesthesia for nerve block by another provider, not prone | 12 | $34.94 |
| 01992 | Anesthesia for nerve block by another provider, prone | 12 | $34.94 |
| 01996 | Daily management of an epidural or spinal drug infusion | 22 | $38.45 |
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.