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See a sample rate comparisonCPT 63001 Fee Schedule
Medicare rates as of October 2026
CPT 63001 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Remove Spine Lamina 1 2 Crvl, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Cervical
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,193.75 national non-facility rate (2026) · View Medicare rates for 63001 |
| Medicaid Fee Schedule | $918.95 median of the 8 states in the free preview · View Medicaid rates for 63001 |
National average reimbursement for CPT 63001 by major payers:
$1,553.66
BCBS / Anthem
$1,683.93
UnitedHealthcare
$1,820.10
Aetna
$1,994.71
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63001.
CPT 63001
5 of 25 sample ratesHigher to lower in this preview
Pediatric Surgery Centers, LLC
$8,394.00Published rateMaple Grove Center For Restorative Surgery
Center For Restorative Surgery At Maple Grove LLC
$4,627.00Published rateFairfax Colon & Rectal Surgery Center, LLC
$2,605.00Published rateJacksonville Beach Surgery Center, LLC, Jacksonville Beach Surgery Center
Jacksonville Beach Surgery Center LLC
$1,600.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$747.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63001 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63001. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62380-CPT | High | Ndsc Dcmprn 1 Ntrspc Lumbar, Endoscopic Decompression Of Spinal Cord Nerve Root S Including Laminotomy Partial Facetectomy Foraminotomy Discectomy And Or Excision Of Herniated Intervertebral Disc 1 Interspace Lumbar |
| 63001-CPT | High | Remove Spine Lamina 1 2 Crvl, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Cervical |
| 63003-CPT | High | Remove Spine Lamina 1 2 Thrc, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63001 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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