# CPT 64495: Njx Dx/ther Agt Pvrt Facet Jt Lmbr/sac 3+ Level

Medicare CPT 64495 pays $98.87 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.62 in Arkansas to $118.16 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64495-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $98.87 |
| National facility | $45.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $118.16 | $60.89 |
| District of Columbia | $112.23 | $48.88 |
| California | $110.45 | $46.82 |
| New Jersey | $108.77 | $48.22 |
| New York | $108.72 | $48.72 |
| Washington | $108.22 | $46.92 |
| Massachusetts | $107.22 | $46.81 |
| Hawaii | $106.44 | $45.29 |
| Connecticut | $104.97 | $47.05 |
| Colorado | $102.74 | $45.52 |
| Maryland | $102.20 | $46.14 |
| Oregon | $101.79 | $45.14 |
| Florida | $101.61 | $47.65 |
| Rhode Island | $101.29 | $45.74 |
| New Hampshire | $101.13 | $45.15 |
| Puerto Rico | $99.52 | $45.16 |
| Virgin Islands | $99.52 | $45.16 |
| Illinois | $99.27 | $47.31 |
| Montana | $98.86 | $45.09 |
| Minnesota | $98.83 | $43.49 |
| Nevada | $98.48 | $44.65 |
| Wyoming | $98.17 | $44.40 |
| Pennsylvania | $98.04 | $45.37 |
| Delaware | $98.00 | $44.87 |
| Texas | $97.87 | $44.93 |
| North Dakota | $97.28 | $43.50 |
| South Dakota | $97.09 | $43.32 |
| Virginia | $97.00 | $44.14 |
| Vermont | $96.91 | $43.67 |
| Georgia | $96.53 | $45.22 |
| Arizona | $96.51 | $44.41 |
| Michigan | $96.09 | $45.59 |
| Maine | $95.05 | $43.67 |
| Utah | $94.79 | $44.24 |
| Wisconsin | $94.35 | $42.84 |
| New Mexico | $94.14 | $44.82 |
| North Carolina | $93.65 | $43.48 |
| South Carolina | $93.64 | $43.95 |
| Missouri | $93.60 | $44.25 |
| Louisiana | $93.48 | $44.38 |
| Ohio | $93.37 | $44.27 |
| Indiana | $92.86 | $43.01 |
| Idaho | $92.38 | $42.91 |
| Nebraska | $92.32 | $42.68 |
| Iowa | $91.86 | $42.66 |
| Tennessee | $91.85 | $42.97 |
| West Virginia | $91.70 | $44.97 |
| Kentucky | $91.60 | $43.79 |
| Oklahoma | $91.48 | $43.46 |
| Kansas | $91.45 | $42.84 |
| Alabama | $89.77 | $42.72 |
| Mississippi | $89.35 | $43.05 |
| Arkansas | $88.62 | $42.43 |

## 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 64495 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