# CPT 64484: Njx Aa&/strd Tfrml Epi Lumbar/sacral Ea Addl

Medicare CPT 64484 pays $117.57 in a non-facility setting and $43.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.69 in Arkansas to $138.08 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64484-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $117.57 |
| National facility | $43.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $138.08 | $59.46 |
| District of Columbia | $134.27 | $47.31 |
| California | $132.58 | $45.23 |
| New Jersey | $129.83 | $46.72 |
| New York | $129.58 | $47.23 |
| Washington | $129.54 | $45.39 |
| Massachusetts | $128.24 | $45.30 |
| Hawaii | $127.70 | $43.77 |
| Connecticut | $125.11 | $45.61 |
| Colorado | $122.64 | $44.10 |
| Maryland | $121.70 | $44.74 |
| Oregon | $121.49 | $43.73 |
| Rhode Island | $120.62 | $44.36 |
| New Hampshire | $120.61 | $43.76 |
| Florida | $120.38 | $46.31 |
| Puerto Rico | $118.43 | $43.81 |
| Virgin Islands | $118.43 | $43.81 |
| Minnesota | $118.07 | $42.12 |
| Montana | $117.57 | $43.75 |
| Illinois | $117.35 | $46.02 |
| Nevada | $117.21 | $43.32 |
| Wyoming | $116.88 | $43.06 |
| Delaware | $116.48 | $43.55 |
| Pennsylvania | $116.37 | $44.06 |
| Texas | $116.29 | $43.62 |
| North Dakota | $115.98 | $42.17 |
| South Dakota | $115.80 | $41.98 |
| Vermont | $115.43 | $42.35 |
| Virginia | $115.39 | $42.83 |
| Arizona | $114.64 | $43.11 |
| Georgia | $114.37 | $43.95 |
| Michigan | $113.65 | $44.33 |
| Maine | $112.92 | $42.39 |
| Utah | $112.37 | $42.98 |
| Wisconsin | $112.27 | $41.56 |
| New Mexico | $111.29 | $43.60 |
| North Carolina | $111.10 | $42.23 |
| South Carolina | $110.93 | $42.72 |
| Missouri | $110.76 | $43.02 |
| Louisiana | $110.55 | $43.16 |
| Ohio | $110.44 | $43.05 |
| Indiana | $110.20 | $41.77 |
| Idaho | $109.59 | $41.68 |
| Nebraska | $109.58 | $41.45 |
| Iowa | $108.98 | $41.43 |
| Tennessee | $108.86 | $41.76 |
| Kansas | $108.36 | $41.63 |
| Kentucky | $108.22 | $42.60 |
| Oklahoma | $108.18 | $42.27 |
| West Virginia | $107.96 | $43.81 |
| Alabama | $106.14 | $41.55 |
| Mississippi | $105.45 | $41.90 |
| Arkansas | $104.69 | $41.28 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64484 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