CPT 64493

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level

CPT 64493 pays $190.39 in a non-facility setting and $81.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $168.90 in Arkansas to $221.86 in Alaska, a 31% spread.

National non-facility rate

$190.39

Office and other outpatient settings

Facility rate
$81.50

Hospital and ASC settings

Highest state
$221.86

Alaska

Lowest state
$168.90

Arkansas · 31% 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 $190.39
CPT 64493 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $190.39, national facility $81.50.
StateRate compared visuallyNon-facilityFacility
Alaska
$221.86$105.90
District of Columbia
$217.84$89.57
California
$214.99$86.15
New Jersey
$210.49$87.88
New York
$210.16$88.69
Washington
$210.03$85.90
Massachusetts
$207.89$85.56
Hawaii
$207.09$83.28
Connecticut
$202.85$85.58
Colorado
$198.68$82.82
Maryland
$197.18$83.67
Oregon
$196.78$82.07
New Hampshire
$195.39$82.04
Rhode Island
$195.32$82.84
Florida
$195.27$86.02
Puerto Rico
$191.81$81.73
Virgin Islands
$191.81$81.73
Minnesota
$191.05$79.00
Montana
$190.38$81.49
Illinois
$190.22$85.01
Nevada
$189.74$80.74
Wyoming
$189.17$80.28
Delaware
$188.52$80.94
Pennsylvania
$188.36$81.70
Texas
$188.21$81.01
North Dakota
$187.61$78.72
South Dakota
$187.28$78.39
Vermont
$186.71$78.91
Virginia
$186.69$79.66
Arizona
$185.49$79.98
Georgia
$185.11$81.23
Michigan
$183.98$81.73
Maine
$182.57$78.53
Utah
$181.73$79.38
Wisconsin
$181.43$77.11
New Mexico
$180.01$80.16
North Carolina
$179.57$77.98
South Carolina
$179.33$78.72
Missouri
$179.09$79.17
Louisiana
$178.75$79.34
Ohio
$178.57$79.15
Indiana
$178.03$77.10
Idaho
$177.02$76.84
Nebraska
$176.98$76.48
Iowa
$175.98$76.35
Tennessee
$175.82$76.84
Kansas
$174.98$76.55
Kentucky
$174.86$78.06
Oklahoma
$174.76$77.52
West Virginia
$174.55$79.93
Alabama
$171.32$76.05
Mississippi
$170.22$76.47
Arkansas
$168.90$75.37

Billed by 1 specialties

Commercial rates for 64493

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

See negotiated rates