# CPT 64491: Njx Dx/ther Agt Pvrt Facet Jt Crv/thrc 2nd Level

Medicare CPT 64491 pays $101.87 in a non-facility setting and $50.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $91.57 in Arkansas to $123.02 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/64491-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $101.87 |
| National facility | $50.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $123.02 | $68.60 |
| District of Columbia | $115.09 | $54.89 |
| California | $112.62 | $52.15 |
| New York | $111.97 | $54.96 |
| New Jersey | $111.74 | $54.20 |
| Washington | $110.75 | $52.50 |
| Massachusetts | $109.84 | $52.43 |
| Hawaii | $108.61 | $50.50 |
| Connecticut | $108.05 | $53.02 |
| Florida | $105.55 | $54.28 |
| Colorado | $105.39 | $51.02 |
| Maryland | $105.22 | $51.95 |
| Oregon | $104.40 | $50.56 |
| Rhode Island | $104.19 | $51.40 |
| New Hampshire | $103.89 | $50.69 |
| Illinois | $103.31 | $53.93 |
| Puerto Rico | $102.48 | $50.82 |
| Virgin Islands | $102.48 | $50.82 |
| Montana | $101.87 | $50.76 |
| Nevada | $101.32 | $50.17 |
| Pennsylvania | $101.23 | $51.17 |
| Minnesota | $101.04 | $48.45 |
| Delaware | $100.96 | $50.47 |
| Wyoming | $100.92 | $49.81 |
| Texas | $100.88 | $50.57 |
| Georgia | $99.87 | $51.12 |
| Virginia | $99.76 | $49.53 |
| Michigan | $99.69 | $51.70 |
| North Dakota | $99.69 | $48.59 |
| Arizona | $99.47 | $49.95 |
| Vermont | $99.45 | $48.86 |
| South Dakota | $99.43 | $48.33 |
| Utah | $97.87 | $49.83 |
| Maine | $97.81 | $48.98 |
| New Mexico | $97.59 | $50.73 |
| Missouri | $96.84 | $49.94 |
| Louisiana | $96.79 | $50.13 |
| Wisconsin | $96.79 | $47.83 |
| South Carolina | $96.73 | $49.51 |
| Ohio | $96.64 | $49.99 |
| North Carolina | $96.50 | $48.82 |
| Indiana | $95.57 | $48.20 |
| West Virginia | $95.54 | $51.13 |
| Idaho | $95.10 | $48.08 |
| Nebraska | $94.93 | $47.76 |
| Kentucky | $94.85 | $49.42 |
| Tennessee | $94.67 | $48.22 |
| Oklahoma | $94.58 | $48.95 |
| Iowa | $94.52 | $47.76 |
| Kansas | $94.25 | $48.05 |
| Alabama | $92.72 | $48.01 |
| Mississippi | $92.51 | $48.51 |
| Arkansas | $91.57 | $47.67 |

## 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 64491 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