# CPT 64721: Neuroplasty, carpal tunnel release, median nerve

Medicare CPT 64721 pays $482.64 in a non-facility setting and $423.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $426.06 in Arkansas to $567.49 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64721-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $482.64 |
| National facility | $423.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $567.49 | $504.17 |
| District of Columbia | $546.32 | $476.28 |
| New York | $535.46 | $469.13 |
| New Jersey | $529.95 | $463.00 |
| California | $526.02 | $455.67 |
| Washington | $521.03 | $453.25 |
| Massachusetts | $517.60 | $450.81 |
| Connecticut | $514.97 | $450.94 |
| Florida | $514.90 | $455.25 |
| Hawaii | $508.12 | $440.52 |
| Illinois | $503.63 | $446.18 |
| Maryland | $499.54 | $437.55 |
| Colorado | $495.75 | $432.49 |
| Rhode Island | $491.64 | $430.22 |
| New Hampshire | $490.30 | $428.41 |
| Oregon | $490.18 | $427.55 |
| Puerto Rico | $485.31 | $425.20 |
| Virgin Islands | $485.31 | $425.20 |
| Montana | $482.58 | $423.12 |
| Pennsylvania | $480.49 | $422.25 |
| Michigan | $478.58 | $422.75 |
| Nevada | $477.41 | $417.90 |
| Texas | $476.73 | $418.19 |
| Delaware | $476.66 | $417.92 |
| Georgia | $476.16 | $419.44 |
| Wyoming | $474.05 | $414.59 |
| Arizona | $468.97 | $411.36 |
| Virginia | $468.03 | $409.59 |
| Minnesota | $467.70 | $406.53 |
| New Mexico | $465.42 | $410.90 |
| Vermont | $463.43 | $404.57 |
| North Dakota | $463.00 | $403.55 |
| Utah | $462.02 | $406.13 |
| South Dakota | $460.69 | $401.23 |
| West Virginia | $459.22 | $407.56 |
| Louisiana | $459.18 | $404.90 |
| Missouri | $458.45 | $403.89 |
| Ohio | $457.89 | $403.61 |
| Maine | $457.50 | $400.69 |
| South Carolina | $455.83 | $400.89 |
| North Carolina | $451.44 | $395.97 |
| Kentucky | $447.91 | $395.06 |
| Wisconsin | $447.68 | $390.73 |
| Indiana | $444.65 | $389.54 |
| Oklahoma | $444.50 | $391.41 |
| Idaho | $442.21 | $387.51 |
| Tennessee | $441.16 | $387.12 |
| Nebraska | $439.93 | $385.06 |
| Kansas | $438.63 | $384.89 |
| Iowa | $438.26 | $383.86 |
| Mississippi | $434.04 | $382.85 |
| Alabama | $432.34 | $380.32 |
| Arkansas | $426.06 | $374.99 |

## 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 64721 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