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See a sample rate comparisonCPT 64635 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $464.94 national non-facility rate (2026) · View Medicare rates for 64635 |
| Medicaid Fee Schedule | $366.89 median of the 8 states in the free preview · View Medicaid rates for 64635 |
National average reimbursement for CPT 64635 by major payers:

$536.34
BCBS / Anthem

$593.12
UnitedHealthcare

$623.92
Aetna

$699.46
Cigna
Choose a payer to see a sample of rates for CPT 64635.
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
Millennium Surgery Center Inc
Tulsa Ok Ophthalmology Asc LLC, Eye Surgery Center Of Tulsa
Georgia Surgical Centers South, Inc
Christopher Hall
Ken Homolya Md LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 64635 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64635. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 64635-CPT | Moderate | Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve(S) With Imaging Guidance (Fluoroscopy Or Ct) Lumbar Or Sacral Single Facet Joint |
| 64636-CPT | Moderate | Destroy L S Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral 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 64635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64635 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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To estimate the cost of a medical procedure or service, you can start by contacting your healthcare provider's billing department directly for an estimate. You should also check with your insurance company to understand your coverage, deductible, co-pays, and out-of-pocket maximums. For specific price lookups based on CPT codes and your location, Payerprice offers a fee schedule lookup tool that can help you understand potential costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for consistent and accurate billing and processing of medical claims. Each code corresponds to a specific service or procedure performed by a healthcare professional.
Medical service prices can vary significantly due to several factors including negotiated rates with different insurance companies, the type of facility (e.g., hospital vs. outpatient clinic), geographic location, provider's specialization and experience, and the specific equipment or technology used. Additionally, the complexity of the case and the level of care required can influence the final cost. These variations highlight the importance of researching costs upfront.
If you receive an unexpectedly high or incorrect medical bill, first review the bill carefully for any errors. Contact your provider's billing department to request an itemized bill and to understand the charges. Next, contact your health insurance company to confirm how the services were covered and processed. If you believe the bill is a 'surprise bill' from an out-of-network provider for emergency services or certain non-emergency services at an in-network facility, you may be protected by the No Surprises Act. For comparing the prices of specific services, you can use tools like Payerprice to research what other providers might charge for the same CPT codes in your area.
For detailed fee schedules and to look up prices for medical services using CPT codes and your specific location, you should use Payerprice. Payerprice provides a dedicated fee schedule lookup tool designed for users to search with CPT codes and geographic details, helping you understand the potential costs before receiving a service.