CPT 63685

Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj

CPT 63685 pays $318.64 in a non-facility setting and $318.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $285.48 in Arkansas to $394.85 in Alaska, a 38% spread.

National non-facility rate

$318.64

Office and other outpatient settings

Facility rate
$318.64

Hospital and ASC settings

Highest state
$394.85

Alaska

Lowest state
$285.48

Arkansas · 38% 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 $318.64
CPT 63685 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $318.64, national facility $318.64.
StateRate compared visuallyNon-facilityFacility
Alaska
$394.85$394.85
New York
$352.51$352.51
Florida
$352.23$352.23
District of Columbia
$352.13$352.13
Illinois
$347.32$347.32
New Jersey
$344.68$344.68
Connecticut
$338.21$338.21
Washington
$332.61$332.61
Massachusetts
$332.12$332.12
California
$329.65$329.65
Maryland
$328.43$328.43
Michigan
$325.95$325.95
Rhode Island
$321.85$321.85
Georgia
$320.52$320.52
Colorado
$320.32$320.32
Pennsylvania
$320.24$320.24
Hawaii
$319.58$319.58
Puerto Rico
$319.38$319.38
Virgin Islands
$319.38$319.38
New Hampshire
$318.96$318.96
West Virginia
$318.75$318.75
Montana
$318.57$318.57
Oregon
$316.43$316.43
New Mexico
$316.18$316.18
Texas
$315.30$315.30
Delaware
$314.57$314.57
Nevada
$312.90$312.90
Louisiana
$310.33$310.33
Arizona
$310.04$310.04
Wyoming
$309.53$309.53
Ohio
$308.96$308.96
Missouri
$308.66$308.66
Utah
$308.19$308.19
Virginia
$306.39$306.39
South Carolina
$304.68$304.68
Kentucky
$302.95$302.95
Maine
$300.45$300.45
Vermont
$300.17$300.17
Oklahoma
$298.57$298.57
North Carolina
$298.31$298.31
North Dakota
$297.81$297.81
Minnesota
$297.28$297.28
South Dakota
$295.36$295.36
Mississippi
$293.57$293.57
Indiana
$292.25$292.25
Tennessee
$291.98$291.98
Idaho
$291.00$291.00
Kansas
$290.25$290.25
Wisconsin
$289.56$289.56
Alabama
$289.10$289.10
Nebraska
$288.01$288.01
Iowa
$287.76$287.76
Arkansas
$285.48$285.48

Billed by 1 specialties

Commercial rates for 63685

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

See negotiated rates