# CPT 64490: Njx Dx/ther Agt Pvrt Facet Jt Crv/thrc 1 Level

Medicare CPT 64490 pays $205.08 in a non-facility setting and $94.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $182.55 in Arkansas to $241.21 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64490-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $205.08 |
| National facility | $94.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $241.21 | $123.11 |
| District of Columbia | $233.89 | $103.26 |
| California | $230.31 | $99.10 |
| New Jersey | $226.27 | $101.41 |
| New York | $226.14 | $102.43 |
| Washington | $225.39 | $98.97 |
| Massachusetts | $223.21 | $98.62 |
| Hawaii | $221.91 | $95.83 |
| Connecticut | $218.26 | $98.83 |
| Colorado | $213.53 | $95.54 |
| Maryland | $212.25 | $96.65 |
| Oregon | $211.49 | $94.67 |
| Florida | $210.93 | $99.66 |
| Rhode Island | $210.22 | $95.67 |
| New Hampshire | $210.12 | $94.69 |
| Puerto Rico | $206.54 | $94.43 |
| Virgin Islands | $206.54 | $94.43 |
| Illinois | $205.73 | $98.58 |
| Minnesota | $205.15 | $91.05 |
| Montana | $205.07 | $94.18 |
| Nevada | $204.27 | $93.27 |
| Wyoming | $203.61 | $92.71 |
| Pennsylvania | $203.13 | $94.52 |
| Delaware | $203.12 | $93.56 |
| Texas | $202.83 | $93.66 |
| North Dakota | $201.71 | $90.82 |
| South Dakota | $201.31 | $90.42 |
| Virginia | $201.03 | $92.02 |
| Vermont | $200.87 | $91.09 |
| Arizona | $199.92 | $92.46 |
| Georgia | $199.83 | $94.05 |
| Michigan | $198.84 | $94.72 |
| Maine | $196.72 | $90.76 |
| Utah | $196.09 | $91.85 |
| Wisconsin | $195.26 | $89.03 |
| New Mexico | $194.58 | $92.89 |
| North Carolina | $193.63 | $90.17 |
| South Carolina | $193.57 | $91.10 |
| Missouri | $193.44 | $91.68 |
| Louisiana | $193.15 | $91.90 |
| Ohio | $192.92 | $91.68 |
| Indiana | $191.92 | $89.13 |
| Idaho | $190.87 | $88.85 |
| Nebraska | $190.75 | $88.40 |
| Iowa | $189.73 | $88.27 |
| Tennessee | $189.69 | $88.89 |
| West Virginia | $189.15 | $92.79 |
| Kentucky | $189.03 | $90.45 |
| Kansas | $188.80 | $88.55 |
| Oklahoma | $188.80 | $89.78 |
| Alabama | $185.08 | $88.05 |
| Mississippi | $184.10 | $88.62 |
| Arkansas | $182.55 | $87.29 |

## 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 64490 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