CPT 64635 Surgery - Nervous
Destroy lumb/sac facet jnt Cost
Body System: Nervous
Medicare Facility Rate
$173
CMS PFS CY2026
Medicare Non-Facility Rate
$465
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.24
Work RVU
1.65
Facility PE RVU
0.29
Malpractice RVU
13.92
Total RVU
Frequently Asked Questions
How much does Destroy lumb/sac facet jnt cost?
The Medicare facility rate is $173. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Destroy lumb/sac facet jnt cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $173.