# CPT 62321: Injection, epidural, with imaging guidance, cervical/thoracic

Medicare CPT 62321 pays $276.56 in a non-facility setting and $95.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $244.44 in Arkansas to $319.05 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/62321-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $276.56 |
| National facility | $95.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $319.05 | $126.25 |
| District of Columbia | $317.53 | $104.27 |
| California | $314.04 | $99.83 |
| New Jersey | $306.42 | $102.57 |
| Washington | $306.28 | $99.91 |
| New York | $305.67 | $103.71 |
| Massachusetts | $303.00 | $99.61 |
| Hawaii | $302.40 | $96.56 |
| Connecticut | $295.04 | $100.06 |
| Colorado | $289.26 | $96.64 |
| Maryland | $286.65 | $97.93 |
| Oregon | $286.49 | $95.77 |
| New Hampshire | $284.30 | $95.84 |
| Rhode Island | $283.95 | $96.94 |
| Florida | $282.94 | $101.30 |
| Puerto Rico | $278.75 | $95.72 |
| Virgin Islands | $278.75 | $95.72 |
| Minnesota | $278.33 | $92.05 |
| Montana | $276.55 | $95.51 |
| Nevada | $275.76 | $94.55 |
| Illinois | $275.27 | $100.35 |
| Wyoming | $275.00 | $93.96 |
| Delaware | $273.78 | $94.92 |
| Pennsylvania | $273.30 | $95.98 |
| Texas | $273.27 | $95.04 |
| North Dakota | $272.99 | $91.96 |
| South Dakota | $272.57 | $91.53 |
| Vermont | $271.52 | $92.30 |
| Virginia | $271.27 | $93.32 |
| Arizona | $269.27 | $93.85 |
| Georgia | $268.31 | $95.61 |
| Michigan | $266.38 | $96.39 |
| Maine | $265.10 | $92.12 |
| Wisconsin | $263.70 | $90.27 |
| Utah | $263.52 | $93.35 |
| New Mexico | $260.58 | $94.57 |
| North Carolina | $260.51 | $91.61 |
| South Carolina | $259.92 | $92.64 |
| Missouri | $259.42 | $93.29 |
| Louisiana | $258.83 | $93.55 |
| Ohio | $258.59 | $93.31 |
| Indiana | $258.35 | $90.53 |
| Nebraska | $256.87 | $89.78 |
| Idaho | $256.82 | $90.27 |
| Iowa | $255.33 | $89.69 |
| Tennessee | $254.93 | $90.37 |
| Kansas | $253.70 | $90.04 |
| Kentucky | $253.06 | $92.12 |
| Oklahoma | $253.06 | $91.40 |
| West Virginia | $252.02 | $94.70 |
| Alabama | $248.06 | $89.66 |
| Mississippi | $246.21 | $90.34 |
| Arkansas | $244.44 | $88.94 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 62321 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules