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See a sample rate comparisonCPT 63003 Fee Schedule
Medicare rates as of October 2026
CPT 63003 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
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
| 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 | $1,198.09 national non-facility rate (2026) · View Medicare rates for 63003 |
| Medicaid Fee Schedule | $922.42 median of the 8 states in the free preview · View Medicaid rates for 63003 |
National average reimbursement for CPT 63003 by major payers:
$1,558.05
BCBS / Anthem
$1,688.17
UnitedHealthcare
$1,782.96
Aetna
$2,000.24
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63003.
CPT 63003
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$14,053.00Published rateParkview Ortho Center, LLC
Parkview Ortho Center LLC
$5,926.00Published rateLegent Outpatient Surgery Westover Hills, LLC
$4,000.00Published ratePinnacle Orthopaedics Surgery Center Woodstock, LLC, Pinnacle Orthopaedics Surgery Center Woodstock, LLC
Pinnacle Orthopaedics Surgery Center Woodstock LLC
$2,626.00Published rateAmbulatory Surgical Care, LLC
Ambulatory Surgical Care LLC
$800.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63003 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63003. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 63005-CPT | High | Remove Spine Lamina 1 2 Lmbr, 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 Lumbar Except For Spondylolisthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63003 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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