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CPT 63045 Fee Schedule

Medicare rates as of October 2026

CPT 63045 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.

Lam Facetec Foramot Crv, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Cervical
Key FactDetail
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 LevelHigh
Medicare Fee Schedule$1,249.53 national non-facility rate (2026) · View Medicare rates for 63045
Medicaid Fee Schedule$957.43 median of the 8 states in the free preview · View Medicaid rates for 63045

National average reimbursement for CPT 63045 by major payers:

BCBS / Anthem logo

$1,643.17

BCBS / Anthem

UnitedHealthcare logo

$1,754.34

UnitedHealthcare

Aetna logo

$1,922.67

Aetna

Cigna logo

$2,088.88

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 63045.

CPT 63045
5 of 25 sample ratesHigher to lower in this preview
  1. Central Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia

    Central Virginia Surgicenter Lp

    VAAmbulatory Surgical Clinic/CenterNPI 1154323988Tax ID 75-2967162

    $6,365.00Published rate
  2. Atlanta Hand Specialist Surgery Center LLC

    GAAmbulatory Surgical Clinic/CenterNPI 1285912923Tax ID 45-2458463

    $3,458.00Published rate
  3. Midwest Surgery Center, L.C.

    Midwest Surgery Center, LLC

    KSAmbulatory Surgical Clinic/CenterNPI 1134109523Tax ID 48-1201894

    $2,800.00Published rate
  4. Graystone Eye Surgery Center Of Hickory, Lp, Graystone Eye Surgery Center

    NCAmbulatory Surgical Clinic/CenterNPI 1255493482Tax ID 20-5740206

    $1,425.00Published rate
  5. Tri-State Gastroenterology Associates, Psc, Tri-State Digestive Disorder Center

    Tri-State Gastroenterology Associates, Psc

    KYAmbulatory Surgical Clinic/CenterNPI 1487651956Tax ID 61-1192347

    $810.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 63045 vs. Other Surgical Procedures on the Nervous System Codes

The table lists codes related to 63045. Select one to see its fee schedule.

CodeComplexityDescription
63044-CPTModerateLaminotomy Addl Lumbar, Laminotomy Hemilaminectomy With Decompression Of Nerve Root S Including Partial Facetectomy Foraminotomy And Or Excision Of Herniated Intervertebral Disc Reexploration Single Interspace Each Additional Lumbar Interspace List Separately In Addition To Code For Primary Procedure
63045-CPTHighLam Facetec Foramot Crv, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Cervical
63046-CPTHighLam Facetec Foramot Thrc, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Thoracic

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 63045 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