# CPT 64492: Njx Dx/ther Agt Pvrt Facet Jt Crv/thrc 3+ Level

Medicare CPT 64492 pays $102.21 in a non-facility setting and $51.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.08 in Arkansas to $123.72 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/64492-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $102.21 |
| National facility | $51.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $123.72 | $69.30 |
| District of Columbia | $115.52 | $55.32 |
| California | $113.45 | $52.98 |
| New York | $112.18 | $55.17 |
| New Jersey | $112.14 | $54.60 |
| Washington | $111.37 | $53.11 |
| Massachusetts | $110.41 | $52.99 |
| Hawaii | $109.36 | $51.26 |
| Connecticut | $108.33 | $53.29 |
| Colorado | $105.93 | $51.56 |
| Maryland | $105.55 | $52.27 |
| Florida | $105.25 | $53.98 |
| Oregon | $104.97 | $51.13 |
| Rhode Island | $104.63 | $51.84 |
| New Hampshire | $104.35 | $51.15 |
| Illinois | $103.00 | $53.62 |
| Puerto Rico | $102.84 | $51.17 |
| Virgin Islands | $102.84 | $51.17 |
| Montana | $102.20 | $51.10 |
| Minnesota | $101.87 | $49.29 |
| Nevada | $101.77 | $50.61 |
| Pennsylvania | $101.50 | $51.44 |
| Wyoming | $101.43 | $50.32 |
| Delaware | $101.35 | $50.86 |
| Texas | $101.25 | $50.94 |
| North Dakota | $100.42 | $49.32 |
| Virginia | $100.28 | $50.04 |
| South Dakota | $100.21 | $49.11 |
| Vermont | $100.11 | $49.51 |
| Georgia | $100.03 | $51.28 |
| Arizona | $99.87 | $50.35 |
| Michigan | $99.69 | $51.70 |
| Maine | $98.35 | $49.52 |
| Utah | $98.21 | $50.18 |
| New Mexico | $97.71 | $50.85 |
| Wisconsin | $97.55 | $48.59 |
| Missouri | $97.10 | $50.20 |
| South Carolina | $97.09 | $49.87 |
| Louisiana | $97.00 | $50.35 |
| North Carolina | $97.00 | $49.32 |
| Ohio | $96.88 | $50.23 |
| Indiana | $96.18 | $48.80 |
| Idaho | $95.71 | $48.69 |
| Nebraska | $95.60 | $48.44 |
| West Virginia | $95.45 | $51.04 |
| Tennessee | $95.22 | $48.77 |
| Iowa | $95.17 | $48.41 |
| Kentucky | $95.13 | $49.70 |
| Oklahoma | $94.96 | $49.33 |
| Kansas | $94.82 | $48.62 |
| Alabama | $93.22 | $48.50 |
| Mississippi | $92.88 | $48.88 |
| Arkansas | $92.08 | $48.19 |

## 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 64492 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