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See a sample rate comparisonCPT 63046 Fee Schedule
Medicare rates as of October 2026
CPT 63046 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Lam 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
| 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 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,184.40 national non-facility rate (2026) · View Medicare rates for 63046 |
| Medicaid Fee Schedule | $910.59 median of the 8 states in the free preview · View Medicaid rates for 63046 |
National average reimbursement for CPT 63046 by major payers:
$1,521.35
BCBS / Anthem
$1,670.65
UnitedHealthcare
$1,834.23
Aetna
$1,993.76
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63046.
CPT 63046
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$9,182.00Published rateMid-America Surgery Institute LLC
Midamerica Surgery Institute LLC
$6,078.00Published rateReston Surgery Center, Lp
Reston Surgery Center Lp
$4,723.00Published rateDialysis Access Center Of Cincinnati, Inc.
Dialysis Access Center Of Cincinnati Inc
$3,100.00Published rateVision Institute Of Michigan Surgery Center PC, Surgery Center Of Michigan
$840.00Published rate
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See a sample payer proposalCPT 63046 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63046. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63045-CPT | High | 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 |
| 63046-CPT | High | Lam 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 |
| 63047-CPT | High | Lam Facetec Foramot Lumbar, 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 Lumbar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63046 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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