# CPT 64708: Neurp Major Prph Nrv Arm/leg Opn Oth/thn Spec

Medicare CPT 64708 pays $464.27 in a non-facility setting and $464.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $418.24 in Arkansas to $569.94 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/64708-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $464.27 |
| National facility | $464.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $569.94 | $569.94 |
| District of Columbia | $519.39 | $519.39 |
| New York | $510.75 | $510.75 |
| New Jersey | $506.11 | $506.11 |
| California | $500.63 | $500.63 |
| Washington | $496.84 | $496.84 |
| Massachusetts | $493.99 | $493.99 |
| Connecticut | $491.99 | $491.99 |
| Florida | $491.91 | $491.91 |
| Hawaii | $483.67 | $483.67 |
| Illinois | $483.14 | $483.14 |
| Maryland | $478.89 | $478.89 |
| Colorado | $475.18 | $475.18 |
| Rhode Island | $472.69 | $472.69 |
| Oregon | $470.32 | $470.32 |
| New Hampshire | $470.10 | $470.10 |
| Puerto Rico | $466.36 | $466.36 |
| Virgin Islands | $466.36 | $466.36 |
| Montana | $464.22 | $464.22 |
| Pennsylvania | $463.41 | $463.41 |
| Michigan | $461.89 | $461.89 |
| Texas | $459.85 | $459.85 |
| Nevada | $459.76 | $459.76 |
| Delaware | $459.69 | $459.69 |
| Georgia | $459.64 | $459.64 |
| Wyoming | $456.89 | $456.89 |
| Arizona | $453.09 | $453.09 |
| Virginia | $452.04 | $452.04 |
| New Mexico | $450.99 | $450.99 |
| Minnesota | $450.92 | $450.92 |
| Vermont | $447.96 | $447.96 |
| Utah | $447.65 | $447.65 |
| North Dakota | $447.41 | $447.41 |
| West Virginia | $446.54 | $446.54 |
| Louisiana | $445.70 | $445.70 |
| South Dakota | $445.42 | $445.42 |
| Missouri | $444.99 | $444.99 |
| Ohio | $444.59 | $444.59 |
| Maine | $443.49 | $443.49 |
| South Carolina | $442.63 | $442.63 |
| North Carolina | $438.69 | $438.69 |
| Kentucky | $436.46 | $436.46 |
| Wisconsin | $435.02 | $435.02 |
| Oklahoma | $433.46 | $433.46 |
| Indiana | $432.98 | $432.98 |
| Idaho | $431.01 | $431.01 |
| Tennessee | $430.31 | $430.31 |
| Nebraska | $429.00 | $429.00 |
| Kansas | $428.23 | $428.23 |
| Iowa | $427.71 | $427.71 |
| Mississippi | $425.06 | $425.06 |
| Alabama | $423.35 | $423.35 |
| Arkansas | $418.24 | $418.24 |

## 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 64708 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
