# CPT 64634: Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/thora

Medicare CPT 64634 pays $266.54 in a non-facility setting and $57.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $233.65 in Arkansas to $308.38 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/64634-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $266.54 |
| National facility | $57.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $308.38 | $62.47 |
| California | $306.47 | $59.45 |
| Alaska | $300.55 | $78.22 |
| Washington | $297.77 | $59.79 |
| New Jersey | $296.74 | $61.68 |
| New York | $295.39 | $62.50 |
| Hawaii | $294.92 | $57.56 |
| Massachusetts | $294.25 | $59.71 |
| Connecticut | $285.14 | $60.31 |
| Colorado | $280.22 | $58.11 |
| Oregon | $277.52 | $57.59 |
| Maryland | $276.74 | $59.11 |
| New Hampshire | $275.04 | $57.72 |
| Rhode Island | $274.17 | $58.52 |
| Florida | $271.06 | $61.61 |
| Minnesota | $270.08 | $55.27 |
| Puerto Rico | $268.89 | $57.84 |
| Virgin Islands | $268.89 | $57.84 |
| Montana | $266.53 | $57.78 |
| Nevada | $266.09 | $57.12 |
| Wyoming | $265.50 | $56.74 |
| North Dakota | $264.16 | $55.40 |
| South Dakota | $263.88 | $55.12 |
| Delaware | $263.72 | $57.47 |
| Texas | $263.09 | $57.57 |
| Illinois | $262.94 | $61.23 |
| Pennsylvania | $262.71 | $58.23 |
| Vermont | $262.36 | $55.70 |
| Virginia | $261.63 | $56.42 |
| Arizona | $259.16 | $56.88 |
| Georgia | $257.30 | $58.15 |
| Maine | $255.28 | $55.81 |
| Michigan | $254.79 | $58.77 |
| Wisconsin | $254.55 | $54.56 |
| Utah | $252.96 | $56.73 |
| North Carolina | $250.39 | $55.62 |
| South Carolina | $249.26 | $56.37 |
| New Mexico | $249.13 | $57.70 |
| Indiana | $248.46 | $54.94 |
| Missouri | $248.41 | $56.84 |
| Louisiana | $247.64 | $57.05 |
| Ohio | $247.48 | $56.89 |
| Nebraska | $247.15 | $54.47 |
| Idaho | $246.87 | $54.82 |
| Iowa | $245.47 | $54.46 |
| Tennessee | $244.71 | $54.96 |
| Kansas | $243.48 | $54.77 |
| Oklahoma | $242.16 | $55.75 |
| Kentucky | $241.84 | $56.26 |
| West Virginia | $239.52 | $58.11 |
| Alabama | $237.37 | $54.71 |
| Mississippi | $234.99 | $55.25 |
| Arkansas | $233.65 | $54.33 |

## 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 64634 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