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See a sample rate comparisonCPT 63268 Fee Schedule
Medicare rates as of October 2026
CPT 63268 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 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 | 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,457.62 national non-facility rate (2026) · View Medicare rates for 63268 |
| Medicaid Fee Schedule | $1,106.745 median of the 8 states in the free preview · View Medicaid rates for 63268 |
National average reimbursement for CPT 63268 by major payers:
$1,679.37
BCBS / Anthem
$1,925.30
UnitedHealthcare
$1,998.46
Aetna
$2,296.54
Cigna
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CPT 63268
5 of 25 sample ratesHigher to lower in this preview
Front Range Orthopedic Surgery Center LLC
$28,000.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$6,492.00Published rateNura Surgical Center LLC, Minneapolis Pain Centers LLC
$3,671.00Published rateThe Center For Specialized Surgery, Lp
$3,000.00Published rateMei Surgery Center LLC, Michigan Eye Surgery Center
Mei Surgery Center LLC
$900.00Published rate
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See a sample payer proposalCPT 63268 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63268. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 63273-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. |
| 63278-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Lower Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63295-CPT | Moderate | Repair Laminectomy Defect, Osteoplastic Reconstruction Of Dorsal Spinal Elements Following Primary Intraspinal Procedure (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 63268. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63268 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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