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See a sample rate comparisonCPT 63085 Fee Schedule
Medicare rates as of October 2026
CPT 63085 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Remove Vert Body Dcmprn Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Single Segment
| 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 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $1,820.02 national non-facility rate (2026) · View Medicare rates for 63085 |
| Medicaid Fee Schedule | $1,402.76 median of the 8 states in the free preview · View Medicaid rates for 63085 |
National average reimbursement for CPT 63085 by major payers:
$2,385.90
BCBS / Anthem
$2,622.42
UnitedHealthcare
$2,696.68
Aetna
$3,111.62
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63085.
CPT 63085
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S Surgicenter
Saint Lukes Surgicenter
$6,623.00Published rateSurgcenter Of San Diego, LLC, Advanced Surgery Center Of North County
Surgcenter Of San Diego
$1,274.00Published rateProvidence Facey Medical Foundation, Facey Endoscopy Center
Providence Facey Medical Foundation
$682.00Published rateIsland Digestive Health Center, LLC
Island Digestive Health Center LLC
$436.00Published rateLv Surgery Center LLC
$104.00Published rate
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See a sample payer proposalCPT 63085 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63085. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63082-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Anterior Approach With Decompression Of Spinal Cord And Or Nerve Root S Cervical Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63085-CPT | High | Remove Vert Body Dcmprn Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Single Segment |
| 63086-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Each Additional Segment List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63085. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63085 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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