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See a sample rate comparisonCPT 63190 Fee Schedule
Medicare rates as of October 2026
CPT 63190 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Surgery To Cut Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Sever Nerves In The Spinal Cord. This Procedure Relieves Muscle Spasm And Pain.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,124.94 national non-facility rate (2026) · View Medicare rates for 63190 |
| Medicaid Fee Schedule | $955.805 median of the 8 states in the free preview · View Medicaid rates for 63190 |
National average reimbursement for CPT 63190 by major payers:
$1,609.96
BCBS / Anthem
$1,714.31
UnitedHealthcare
$1,830.53
Aetna
$2,053.82
Cigna
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CPT 63190
5 of 25 sample ratesHigher to lower in this preview
Minnetonka Ambulatory Surgery Center LLC
$12,834.00Published rateSequoia Surgical Center Lp, Sequoia Surgical Pavilion
Sequoia Surgical Center Lp
$9,088.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$6,497.00Published rateEye And Laser Surgery Centers Of New Jersey LLC
$4,500.00Published rateLong Island Center For Digestive Health LLC
Long Island Center For Digestive Health, LLC
$668.00Published rate
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See a sample payer proposalCPT 63190 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63190. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63185-CPT | High | Surgery To Cut Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Sever Nerves In The Spinal Cord. This Procedure Relieves Muscle Spasm And Pain. |
| 63190-CPT | High | Surgery To Cut Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Sever Nerves In The Spinal Cord. This Procedure Relieves Muscle Spasm And Pain. |
| 63191-CPT | High | Surgery To Cut Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Sever Nerves In The Spinal Cord. This Procedure Relieves Muscle Spasm And Pain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63190 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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