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See a sample rate comparisonCPT 64628 Fee Schedule
Medicare rates as of October 2026
CPT 64628 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance; First 2 Vertebral Bodies Lumba
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | KX - Requirements specified in the medical policy have been met SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $364.74 national non-facility rate (2026) · View Medicare rates for 64628 |
| Medicaid Fee Schedule | $333.09 median of the 8 states in the free preview · View Medicaid rates for 64628 |
National average reimbursement for CPT 64628 by major payers:
$544.60
BCBS / Anthem
$658.76
UnitedHealthcare
$641.89
Aetna
$762.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64628.
CPT 64628
5 of 25 sample ratesHigher to lower in this preview
Harris Methodist Southwest
Texas Health Harris Methodist Hospital Southwest Fort Worth
$16,083.00Published rateFoundation Surgery Affiliate Of Nacogdoches LLC, Nacogdoches Surgery Center
Foundation Surgery Affiliate Of Nacogdoches LLC
$3,985.00Published rateCenter Of Surgical Excellence, Cose Anesthesia Billing
$1,826.00Published rateEdward Anglin
Highland Clinic, Apmc
$607.96Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$367.57Published rate
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See a sample payer proposalCPT 64628 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64628. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 64628-CPT | Moderate | Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance; First 2 Vertebral Bodies Lumba |
| 64629-CPT | Moderate | Thermal Destruction Of Intraos, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance Each Additional Vertebral Body Lumbar Or Sacral (List Separately In Addition To Code For Primary Procedure) |
| 64633-CPT | Moderate | Destroy Cerv Thor Facet Jnt, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Single Facet Joint |
| 64634-CPT | Moderate | Destroy C Th Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Each Additional Facet Joint 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 64628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64628 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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