Rate Benchmarking
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See a sample rate comparisonCPT 62273 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $172.02 national non-facility rate (2026) · View Medicare rates for 62273 |
| Medicaid Fee Schedule | $138.44 median of the 8 states in the free preview · View Medicaid rates for 62273 |
National average reimbursement for CPT 62273 by major payers:

$197.23
BCBS / Anthem

$233.58
UnitedHealthcare

$252.33
Aetna

$189.88
Cigna
Choose a payer to see a sample of rates for CPT 62273.
Isaac Tawfik
Monmouth Medical Center Faculty Practice Plan Inc
Sharlaina Sircar
Stony Brook Internists P C
Christopher Raio
Mercy Medical Center
David Kim
Town Center Orthopaedic Associates, P.C.
Cynthia Lewis
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62273 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62273. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62272-CPT | Moderate | Drain Spinal Fluid, Insertion Of A Needle Into The Spine In Order To Remove Spinal Fluid. The Procedure Is Often Called A Spinal Puncture. |
| 62273-CPT | Low | Injection Lumbar Epidural O, Injection Lumbar Epidural Of Blood Or Clot Patchinjection Lumbar Epidural Of Blood Or Clot Patch |
| 62280-CPT | Moderate | Treat Spinal Cord Lesion, Injection Infusion Of Neurolytic Substance Eg Alcohol Phenol Iced Saline Solutions With Or Without Other Therapeutic Substance Subarachnoid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62273. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62273 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Bring your top codes (like CPT 62273) and we'll show you how you compare in 15 minutes or less.