# CPT 64400: Injection Aa&/strd Trigeminal Nerve Each Branch

Medicare CPT 64400 pays $121.91 in a non-facility setting and $47.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $105.75 in Arkansas to $140.13 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/64400-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Neurology, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $121.91 |
| National facility | $47.43 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $140.13 | $52.39 |
| Alaska | $136.84 | $57.51 |
| California | $136.17 | $48.03 |
| New York | $136.05 | $52.96 |
| New Jersey | $135.16 | $51.29 |
| Washington | $133.88 | $48.96 |
| Massachusetts | $132.69 | $49.01 |
| Hawaii | $131.36 | $46.67 |
| Connecticut | $130.84 | $50.62 |
| Florida | $128.86 | $54.12 |
| Maryland | $126.62 | $48.97 |
| Colorado | $126.46 | $47.21 |
| Illinois | $125.33 | $53.36 |
| Oregon | $125.02 | $46.54 |
| New Hampshire | $124.75 | $47.21 |
| Rhode Island | $124.61 | $47.66 |
| Puerto Rico | $122.80 | $47.50 |
| Virgin Islands | $122.80 | $47.50 |
| Montana | $121.90 | $47.42 |
| Nevada | $120.83 | $46.27 |
| Pennsylvania | $120.77 | $47.81 |
| Delaware | $120.24 | $46.65 |
| Texas | $120.15 | $46.82 |
| Wyoming | $120.09 | $45.61 |
| Minnesota | $119.60 | $42.96 |
| Michigan | $119.25 | $49.31 |
| Georgia | $119.16 | $48.11 |
| Virginia | $118.31 | $45.09 |
| Arizona | $118.10 | $45.92 |
| North Dakota | $117.75 | $43.26 |
| Vermont | $117.54 | $43.80 |
| South Dakota | $117.26 | $42.77 |
| New Mexico | $115.81 | $47.51 |
| Utah | $115.77 | $45.75 |
| Maine | $115.27 | $44.10 |
| Louisiana | $114.37 | $46.36 |
| Missouri | $114.35 | $46.00 |
| Ohio | $114.09 | $46.09 |
| South Carolina | $113.98 | $45.16 |
| North Carolina | $113.32 | $43.82 |
| Wisconsin | $113.26 | $41.90 |
| West Virginia | $113.08 | $48.35 |
| Indiana | $111.70 | $42.65 |
| Kentucky | $111.27 | $45.05 |
| Idaho | $110.98 | $42.45 |
| Oklahoma | $110.66 | $44.15 |
| Nebraska | $110.58 | $41.83 |
| Tennessee | $110.43 | $42.72 |
| Iowa | $109.99 | $41.84 |
| Kansas | $109.74 | $42.41 |
| Alabama | $107.55 | $42.38 |
| Mississippi | $107.50 | $43.37 |
| Arkansas | $105.75 | $41.77 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64400 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules