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See a sample rate comparisonCPT 63101 Fee Schedule
Medicare rates as of October 2026
CPT 63101 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 Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments 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 11 - Office |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,217.49 national non-facility rate (2026) · View Medicare rates for 63101 |
| Medicaid Fee Schedule | $1,704.06 median of the 8 states in the free preview · View Medicaid rates for 63101 |
National average reimbursement for CPT 63101 by major payers:
$2,981.09
BCBS / Anthem
$3,163.00
UnitedHealthcare
$3,285.84
Aetna
$3,739.82
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63101.
CPT 63101
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$4,893.00Published rateMinnesota Vascular Surgery Center
$1,000.00Published rateMedical Center Endoscopy, LLC, Medical Center Endoscopy
Medical Center Endoscopy, LLP
$736.00Published rateAustell Surgery Center, LLC
Austell Surgery Center LLC
$616.00Published rateMid-Florida Endoscopy & Surgery Center LLC
Mid-Florida Endoscopy & Surger
$364.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63101 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63101. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63091-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Lumbar Or Sacral Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63101-CPT | High | Remove Vert Body Dcmprn Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments Thoracic Single Segment |
| 63102-CPT | High | Remove Vert Body Dcmprn Lmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments Lumbar Single Segment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63101 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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