# CPT 64494: Njx Dx/ther Agt Pvrt Facet Jt Lmbr/sac 2nd Level

Medicare CPT 64494 pays $95.86 in a non-facility setting and $43.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $86.04 in Arkansas to $114.96 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/64494-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $95.86 |
| National facility | $43.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $114.96 | $59.46 |
| District of Columbia | $108.69 | $47.31 |
| California | $106.89 | $45.23 |
| New Jersey | $105.39 | $46.72 |
| New York | $105.36 | $47.23 |
| Washington | $104.79 | $45.39 |
| Massachusetts | $103.85 | $45.30 |
| Hawaii | $103.02 | $43.77 |
| Connecticut | $101.73 | $45.61 |
| Colorado | $99.54 | $44.10 |
| Maryland | $99.06 | $44.74 |
| Oregon | $98.62 | $43.73 |
| Florida | $98.59 | $46.31 |
| Rhode Island | $98.19 | $44.36 |
| New Hampshire | $98.01 | $43.76 |
| Puerto Rico | $96.49 | $43.81 |
| Virgin Islands | $96.49 | $43.81 |
| Illinois | $96.37 | $46.02 |
| Montana | $95.86 | $43.75 |
| Minnesota | $95.73 | $42.12 |
| Nevada | $95.47 | $43.32 |
| Wyoming | $95.17 | $43.06 |
| Pennsylvania | $95.10 | $44.06 |
| Delaware | $95.03 | $43.55 |
| Texas | $94.91 | $43.62 |
| North Dakota | $94.27 | $42.17 |
| South Dakota | $94.09 | $41.98 |
| Virginia | $94.05 | $42.83 |
| Vermont | $93.94 | $42.35 |
| Georgia | $93.65 | $43.95 |
| Arizona | $93.60 | $43.11 |
| Michigan | $93.27 | $44.33 |
| Maine | $92.17 | $42.39 |
| Utah | $91.96 | $42.98 |
| Wisconsin | $91.47 | $41.56 |
| New Mexico | $91.38 | $43.60 |
| South Carolina | $90.87 | $42.72 |
| North Carolina | $90.85 | $42.23 |
| Missouri | $90.84 | $43.02 |
| Louisiana | $90.73 | $43.16 |
| Ohio | $90.62 | $43.05 |
| Indiana | $90.07 | $41.77 |
| Idaho | $89.62 | $41.68 |
| Nebraska | $89.54 | $41.45 |
| Tennessee | $89.12 | $41.76 |
| Iowa | $89.11 | $41.43 |
| West Virginia | $89.09 | $43.81 |
| Kentucky | $88.92 | $42.60 |
| Oklahoma | $88.80 | $42.27 |
| Kansas | $88.73 | $41.63 |
| Alabama | $87.14 | $41.55 |
| Mississippi | $86.76 | $41.90 |
| Arkansas | $86.04 | $41.28 |

## 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 64494 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