CPT 63030

Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr

CPT 63030 pays $898.15 in a non-facility setting and $898.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $782.49 in Arkansas to $1,060.60 in Alaska, a 36% spread.

National non-facility rate

$898.15

Office and other outpatient settings

Facility rate
$898.15

Hospital and ASC settings

Highest state
$1,060.60

Alaska

Lowest state
$782.49

Arkansas · 36% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $898.15
CPT 63030 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $898.15, national facility $898.15.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,060.60$1,060.60
Florida
$1,020.83$1,020.83
New York
$1,006.62$1,006.62
Illinois
$1,003.57$1,003.57
District of Columbia
$1,001.23$1,001.23
New Jersey
$976.62$976.62
Connecticut
$962.09$962.09
Washington
$936.47$936.47
Massachusetts
$936.03$936.03
Maryland
$929.28$929.28
Michigan
$927.29$927.29
California
$922.93$922.93
Georgia
$906.50$906.50
Rhode Island
$904.23$904.23
West Virginia
$903.77$903.77
Pennsylvania
$902.75$902.75
Puerto Rico
$900.40$900.40
Virgin Islands
$900.40$900.40
Colorado
$899.01$899.01
Montana
$897.89$897.89
New Hampshire
$897.66$897.66
Hawaii
$896.09$896.09
New Mexico
$892.47$892.47
Oregon
$886.09$886.09
Texas
$885.30$885.30
Delaware
$882.60$882.60
Nevada
$877.11$877.11
Louisiana
$871.20$871.20
Arizona
$867.93$867.93
Ohio
$866.19$866.19
Missouri
$864.93$864.93
Wyoming
$864.80$864.80
Utah
$862.32$862.32
Virginia
$854.00$854.00
South Carolina
$850.10$850.10
Kentucky
$845.17$845.17
Maine
$833.38$833.38
Vermont
$831.00$831.00
Oklahoma
$828.98$828.98
North Carolina
$826.45$826.45
North Dakota
$821.96$821.96
Minnesota
$818.85$818.85
South Dakota
$812.99$812.99
Mississippi
$811.98$811.98
Indiana
$804.55$804.55
Tennessee
$804.27$804.27
Idaho
$800.23$800.23
Kansas
$798.14$798.14
Alabama
$795.10$795.10
Wisconsin
$793.47$793.47
Nebraska
$789.18$789.18
Iowa
$788.59$788.59
Arkansas
$782.49$782.49

Commercial rates for 63030

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates