Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 62280 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Treat Spinal Cord Lesion, Injection Infusion Of Neurolytic Substance Eg Alcohol Phenol Iced Saline Solutions With Or Without Other Therapeutic Substance Subarachnoid
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62280 |
| Medicaid Fee Schedule | View Medicaid rates for 62280 |
National average reimbursement for CPT 62280 by major payers:
$422.81
$457.78
$453.76
$513.86
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62280.
CPT 62280
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Plano, LLC, Baylor Scott & White Surgicare - Plano
$2,172.00Published rateMilwaukee Surgicenter LLC
$1,000.00Published rateJoseph Mansour
Deaconess Hospital Inc
$576.28Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$356.00Published ratePodiatry Associates Ambulatory Surgical Centers LLC
$165.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62280 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62280 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 62280 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 62281-CPT | Moderate | Treat Spinal Cord Lesion, Injection Infusion Of Neurolytic Substance Eg Alcohol Phenol Iced Saline Solutions With Or Without Other Therapeutic Substance Epidural Cervical Or Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62280 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 62280) and we'll show you how you compare in 15 minutes or less.