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See a sample rate comparisonCPT 62323 Fee Schedule
Medicare rates as of October 2026
CPT 62323 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal With Imaging Guidance Ie Fluoroscopy Or Ct
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $273.22 national non-facility rate (2026) · View Medicare rates for 62323 |
| Medicaid Fee Schedule | $215.53 median of the 8 states in the free preview · View Medicaid rates for 62323 |
National average reimbursement for CPT 62323 by major payers:
$298.47
BCBS / Anthem
$344.73
UnitedHealthcare
$367.99
Aetna
$407.00
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62323.
CPT 62323
5 of 25 sample ratesHigher to lower in this preview
Kara Pagels
Allina Health System
$1,027.30Published rateNorth Kitsap Ambulatory Surgery Center, LLC, Pacific Surgery Center
North Kitsap Ambulatory Center, Inc. Dba Pacific Surgery Center
$515.00Published rateJoseph Vukovic
Ellis Hospital
$339.89Published rateJennifer Durocher
Ellis Hospital
$264.35Published rateSamantha Relyea
Albany Med Health System
$206.42Published rate
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See a sample payer proposalCPT 62323 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62323. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62322-CPT | Low | Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal Without Imaging Guidance |
| 62323-CPT | Moderate | Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal With Imaging Guidance Ie Fluoroscopy Or Ct |
| 62324-CPT | Low | Njx Interlaminar Crv Thrc, Injection S Including Indwelling Catheter Placement Continuous Infusion Or Intermittent Bolus Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic Without Imaging Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62323. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62323 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.
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Frequently Asked Questions
To get an estimate for a medical procedure or service, especially for specific CPT codes and your location, you should use Payerprice's fee schedule lookup tool. It allows you to search for estimated costs based on specific CPT codes and your geographic location, providing more tailored information for your situation than general resources.
CPT stands for "Current Procedural Terminology." CPT codes are standardized five-digit codes used by healthcare professionals to describe medical, surgical, and diagnostic services. They are crucial for understanding healthcare costs because they precisely identify the specific service being performed, which is necessary when looking up pricing information. You can use CPT codes with tools like Payerprice to find fee schedule information.
Medical costs can vary significantly due to several factors, including the specific facility's operating costs, its negotiation power with insurance companies, the geographic location, the technology used, and whether the provider is in-network or out-of-network for your insurance plan. Tools like Payerprice can help you compare costs for specific CPT codes across different locations and providers.
If your medical bill seems higher than expected, first, review your Explanation of Benefits (EOB) from your insurance company and compare it to the provider's bill. Check for accuracy in the CPT codes listed. For specific fee schedule information related to CPT codes and your location, you can use Payerprice's fee schedule lookup tool. If discrepancies persist, contact the provider's billing department and your insurance company.