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See a sample rate comparisonCPT 63267 Fee Schedule
Medicare rates as of October 2026
CPT 63267 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Mid-Lower Back.
| 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 | $1,322.68 national non-facility rate (2026) · View Medicare rates for 63267 |
| Medicaid Fee Schedule | $1,022.835 median of the 8 states in the free preview · View Medicaid rates for 63267 |
National average reimbursement for CPT 63267 by major payers:
$1,713.82
BCBS / Anthem
$1,876.43
UnitedHealthcare
$1,990.46
Aetna
$2,226.08
Cigna
Compare published rates across providers.
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CPT 63267
5 of 25 sample ratesHigher to lower in this preview
Potomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$7,227.00Published rateDoctors Outpatient Surgery Center Of Jupiter, LLC, Laser & Surgery Center Of The Palm Beaches
Drs. Outpatient Surgery Center Of Jupiter, LLC
$2,353.00Published rateSpringfield Surgery Center, LLC
Springfield Surgery Center LLC
$1,700.00Published rateGpddc, LLC
$1,200.00Published rateEye Surgery Center Of Wisconsin, LLC
$687.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63267 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63267. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63266-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Upper Back. |
| 63267-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Mid-Lower Back. |
| 63268-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Lower Back. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63267. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63267 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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