# CPT 64493: Injection, facet joint, lumbar/sacral, single level

Medicare 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.

Web page: https://www.med-reveal.com/rates/64493-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $190.39 |
| National facility | $81.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $210.04 | $85.90 |
| Massachusetts | $207.90 | $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 | $81.71 |
| 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 | $81.74 |
| Maine | $182.58 | $78.54 |
| 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 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64493 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