# CPT 63267: Laminectomy for excision of intraspinal lesion, extradural, lumbar

Medicare CPT 63267 pays $1,322.68 in a non-facility setting and $1,322.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,147.45 in Nebraska to $1,568.93 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/63267-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,322.68 |
| National facility | $1,322.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,568.93 | $1,568.93 |
| Florida | $1,536.39 | $1,536.39 |
| Illinois | $1,513.36 | $1,513.36 |
| New York | $1,487.07 | $1,487.07 |
| District of Columbia | $1,465.02 | $1,465.02 |
| New Jersey | $1,432.41 | $1,432.41 |
| Connecticut | $1,418.23 | $1,418.23 |
| Michigan | $1,385.63 | $1,385.63 |
| Maryland | $1,368.05 | $1,368.05 |
| Massachusetts | $1,363.11 | $1,363.11 |
| Washington | $1,360.47 | $1,360.47 |
| West Virginia | $1,358.32 | $1,358.32 |
| Georgia | $1,346.27 | $1,346.27 |
| Pennsylvania | $1,334.31 | $1,334.31 |
| New Mexico | $1,329.11 | $1,329.11 |
| California | $1,328.07 | $1,328.07 |
| Rhode Island | $1,325.86 | $1,325.86 |
| Puerto Rico | $1,324.43 | $1,324.43 |
| Virgin Islands | $1,324.43 | $1,324.43 |
| Montana | $1,322.23 | $1,322.23 |
| New Hampshire | $1,313.74 | $1,313.74 |
| Colorado | $1,310.97 | $1,310.97 |
| Texas | $1,303.01 | $1,303.01 |
| Delaware | $1,297.62 | $1,297.62 |
| Louisiana | $1,292.73 | $1,292.73 |
| Hawaii | $1,292.06 | $1,292.06 |
| Oregon | $1,290.67 | $1,290.67 |
| Nevada | $1,285.71 | $1,285.71 |
| Ohio | $1,283.99 | $1,283.99 |
| Missouri | $1,280.86 | $1,280.86 |
| Arizona | $1,275.98 | $1,275.98 |
| Utah | $1,271.90 | $1,271.90 |
| Wyoming | $1,264.40 | $1,264.40 |
| South Carolina | $1,253.70 | $1,253.70 |
| Kentucky | $1,251.98 | $1,251.98 |
| Virginia | $1,248.87 | $1,248.87 |
| Oklahoma | $1,222.91 | $1,222.91 |
| Maine | $1,218.26 | $1,218.26 |
| North Carolina | $1,210.59 | $1,210.59 |
| Vermont | $1,207.31 | $1,207.31 |
| Mississippi | $1,199.51 | $1,199.51 |
| North Dakota | $1,189.55 | $1,189.55 |
| Minnesota | $1,178.39 | $1,178.39 |
| Tennessee | $1,176.57 | $1,176.57 |
| South Dakota | $1,173.86 | $1,173.86 |
| Indiana | $1,173.51 | $1,173.51 |
| Idaho | $1,167.34 | $1,167.34 |
| Alabama | $1,167.25 | $1,167.25 |
| Kansas | $1,166.85 | $1,166.85 |
| Arkansas | $1,148.37 | $1,148.37 |
| Wisconsin | $1,148.04 | $1,148.04 |
| Iowa | $1,147.98 | $1,147.98 |
| Nebraska | $1,147.45 | $1,147.45 |

## 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 63267 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