How can I find out the estimated cost of a medical procedure or service before I receive it?

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.

What is a CPT code and why is it important for understanding healthcare costs?

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.

Why do medical costs vary so much between different hospitals or clinics, even for the same service?

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.

My medical bill seems higher than expected. How can I verify the charges?

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.

CPT 62323 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and provider type (hospital providers may have different rates than private practice).

Last Verified: July 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.

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	Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord Surgical Procedures on the Spine and Spinal Cord
Common Place of Service	11 - Office 24 - Ambulatory Surgical Center
Common Modifiers	None SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 62323

National average reimbursement for CPT 62323 by major payers:

$298.47

$344.73

$367.99

$407.00

Preview provider-level rates for...

For billing codeCPT 62323

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	62323	$264.35	1972876340 - PAUL RODRIGUE	141338428 - ELLIS HOSPITAL	NY	Body Imaging Physician (2085B0100X)
United	62323	$1027.30	1528479045 - KARA PAGELS	363261413 - ALLINA HEALTH SYSTEM	NY	Medical Physician Assistant (363AM0700X)
United	62323	$390.23	1215196936 - RYAN RICHMAN	135596796 - MARY IMOGENE BASSETT HOSPITAL	NY	Emergency Medicine Physician (207P00000X)
United	62323	$339.89	1053637728 - JOSEPH VUKOVIC	141338428 - ELLIS HOSPITAL	NY	Emergency Medicine Physician (207P00000X)
United	62323	$226.58	1679661011 - JEFFREY ROSS	461177336 - ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC	NY	Diagnostic Radiology Physician (2085R0202X)
United	62323	$264.35	1033310495 - JENNIFER DUROCHER	141338428 - ELLIS HOSPITAL	NY	Physician Assistant (363A00000X)
United	62323	$264.35	1487688909 - MICHAEL CLOCK	141338428 - ELLIS HOSPITAL	NY	Surgical Physician Assistant (363AS0400X)
United	62323	$514.05	1184060576 - AMIRALI MODIR SHANECHI	461177336 - ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC	MD	Diagnostic Radiology Physician (2085R0202X)
United	62323	$353.83	1083047724 - JOSEPH GIAMPA	141338373 - COLUMBIA MEMORIAL HOSPITAL	NY	Neuroradiology Physician (2085N0700X)
United	62323	$438.82	1225456569 - MANEK AULAKH	141338310 - ALBANY MEDICAL COLLEGE	NY	Neuroradiology Physician (2085N0700X)
United	62323	$1003.00	1366536880 - SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, LLC	911959910 - (WA) SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER	WA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62323	$264.35	1346399821 - MICHELE GORLA	30491689 - (NY) SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES, P.C.	NY	Pulmonary Disease Physician (207RP1001X)
United	62323	$210.47	1821475138 - DIVYA ASTI	742915297 - (TX) SOUTH TEXAS ONCOLOGY & HEMATOLOGY, PLLC	TX	Hematology & Oncology Physician (207RH0003X)
United	62323	$400.82	1013179944 - SADDAM ABISSE	461177336 - ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC	NY	Cardiovascular Disease Physician (207RC0000X)
United	62323	$264.35	1760879944 - TAYLOR MCGRATH	141338428 - ELLIS HOSPITAL	NY	Physician Assistant (363A00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 62323 vs. Other Surgical Procedures on the Spine and Spinal Cord Codes

The CPT 62323 code is part of the Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord services used for Surgical Procedures on the Spine and Spinal Cord. 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 62323 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
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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