# CPT 62323: Injection, epidural, with imaging guidance, lumbar/sacral

Medicare CPT 62323 pays $273.22 in a non-facility setting and $89.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $241.03 in Arkansas to $314.19 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/62323-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $273.22 |
| National facility | $89.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $314.19 | $97.40 |
| Alaska | $313.63 | $117.63 |
| California | $310.98 | $93.22 |
| Washington | $303.10 | $93.30 |
| New Jersey | $303.02 | $95.79 |
| New York | $302.18 | $96.87 |
| Massachusetts | $299.78 | $93.02 |
| Hawaii | $299.43 | $90.18 |
| Connecticut | $291.66 | $93.45 |
| Colorado | $286.04 | $90.22 |
| Maryland | $283.30 | $91.44 |
| Oregon | $283.29 | $89.41 |
| New Hampshire | $281.07 | $89.48 |
| Rhode Island | $280.61 | $90.50 |
| Florida | $279.29 | $94.64 |
| Puerto Rico | $275.43 | $89.37 |
| Virgin Islands | $275.43 | $89.37 |
| Minnesota | $275.28 | $85.90 |
| Montana | $273.21 | $89.17 |
| Nevada | $272.48 | $88.26 |
| Wyoming | $271.74 | $87.70 |
| Illinois | $271.55 | $93.73 |
| Delaware | $270.43 | $88.60 |
| Texas | $269.90 | $88.72 |
| Pennsylvania | $269.86 | $89.60 |
| North Dakota | $269.85 | $85.81 |
| South Dakota | $269.45 | $85.41 |
| Vermont | $268.33 | $86.13 |
| Virginia | $268.00 | $87.09 |
| Arizona | $265.93 | $87.60 |
| Georgia | $264.82 | $89.25 |
| Michigan | $262.80 | $89.99 |
| Maine | $261.81 | $85.96 |
| Wisconsin | $260.52 | $84.21 |
| Utah | $260.11 | $87.12 |
| North Carolina | $257.18 | $85.47 |
| New Mexico | $257.03 | $88.27 |
| South Carolina | $256.50 | $86.45 |
| Missouri | $255.94 | $87.06 |
| Louisiana | $255.33 | $87.29 |
| Ohio | $255.10 | $87.08 |
| Indiana | $255.06 | $84.46 |
| Nebraska | $253.61 | $83.75 |
| Idaho | $253.53 | $84.21 |
| Iowa | $252.05 | $83.66 |
| Tennessee | $251.59 | $84.30 |
| Kansas | $250.36 | $83.99 |
| Oklahoma | $249.62 | $85.27 |
| Kentucky | $249.56 | $85.95 |
| West Virginia | $248.32 | $88.39 |
| Alabama | $244.66 | $83.63 |
| Mississippi | $242.72 | $84.26 |
| Arkansas | $241.03 | $82.94 |

## 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 62323 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