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See a sample rate comparisonCPT 63048 Fee Schedule
Medicare rates as of October 2026
CPT 63048 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Lam Facetec Foramot Ea Addl, 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 Each Additional Vertebral Segment Cervical Thoracic Or Lumbar List Separately In Addition To Code For Primary Procedure
| 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 | Moderate |
| Medicare Fee Schedule | $187.38 national non-facility rate (2026) · View Medicare rates for 63048 |
| Medicaid Fee Schedule | $153.82 median of the 8 states in the free preview · View Medicaid rates for 63048 |
National average reimbursement for CPT 63048 by major payers:
$272.79
BCBS / Anthem
$297.21
UnitedHealthcare
$340.14
Aetna
$350.26
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63048.
CPT 63048
5 of 25 sample ratesHigher to lower in this preview
Surgery Center At South Ogden, LLC
Surgery Center At South Ogden LLC
$7,900.00Published rateMid Rivers Ambulatory Surgery Center Lp, Mid Rivers Surgery Center
Mid Rivers Ambulatory Surgery Center Lp
$633.00Published rateTampa Bay Surgery Center Associates,Ltd
Tampa Bay Surgery Center Assoc
$300.00Published rateHarbin Clinic, LLC, Harbin Gi
The Harbin Clinic, L.L.C.
$150.00Published rateJacksonville Beach Surgery Center, LLC, Jacksonville Beach Surgery Center
Jacksonville Beach Surgery Center LLC
$85.00Published rate
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See a sample payer proposalCPT 63048 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63048. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 63048-CPT | Moderate | Lam Facetec Foramot Ea Addl, 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 Each Additional Vertebral Segment Cervical Thoracic Or Lumbar List Separately In Addition To Code For Primary Procedure |
| 63050-CPT | High | Laminoplasty Cervcal W/Dcompress Of The Spinal Cord 2, Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or Mo |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63048. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63048 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
A CPT (Current Procedural Terminology) code is a five-digit code used to describe medical, surgical, and diagnostic services. Healthcare providers use these codes to bill for services, and they are crucial for determining the cost of a procedure as they standardize the description of services across the healthcare industry.
To find the cost of a specific medical procedure or service, you can use a specialized fee schedule lookup tool. For the most accurate and up-to-date pricing information based on your specific situation, it is recommended to use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that allows you to search with a CPT code and a specific location to get relevant pricing data.
A fee schedule is a comprehensive list of fees used by payers (like insurance companies) to reimburse providers for medical services. It outlines the maximum amount that will be paid for each specific CPT code or service. Understanding fee schedules is essential for both providers and patients to estimate costs and reimbursements.
For specific healthcare price lookups based on a CPT code and your geographic location, Payerprice is an excellent resource. Their fee schedule lookup tool is designed to provide users with detailed pricing information tailored to their specific needs, enabling more transparent healthcare cost estimations.
While CMS (Centers for Medicare & Medicaid Services) provides valuable information, its fee schedules primarily relate to Medicare and Medicaid reimbursement rates. For users looking for broader commercial insurance fee schedules and more granular, location-specific pricing that reflects a wider range of payers, Payerprice is a more suitable and comprehensive tool. Payerprice's fee schedule lookup tool allows users to search with a CPT code and specific location to get pricing information relevant to various payers beyond just government programs.
To use Payerprice's fee schedule lookup tool effectively, you typically need the CPT code for the medical procedure or service you are interested in, and the specific geographic location (e.g., zip code or city/state) where the service will be rendered. This information allows the tool to provide the most accurate and localized pricing data.