# CPT 64405: Injection, anesthetic agent, greater occipital nerve

Medicare CPT 64405 pays $78.83 in a non-facility setting and $46.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $69.63 in Arkansas to $93.71 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/64405-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $78.83 |
| National facility | $46.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $93.71 | $58.85 |
| District of Columbia | $88.59 | $50.03 |
| New York | $87.55 | $51.04 |
| New Jersey | $86.17 | $49.31 |
| Florida | $85.61 | $52.76 |
| California | $84.25 | $45.51 |
| Connecticut | $84.08 | $48.82 |
| Washington | $84.07 | $46.75 |
| Illinois | $83.94 | $52.31 |
| Massachusetts | $83.68 | $46.90 |
| Maryland | $81.52 | $47.40 |
| Hawaii | $81.50 | $44.28 |
| Colorado | $80.29 | $45.46 |
| Rhode Island | $80.01 | $46.20 |
| New Hampshire | $79.63 | $45.56 |
| Oregon | $79.33 | $44.85 |
| Michigan | $79.18 | $48.44 |
| Puerto Rico | $79.17 | $46.08 |
| Virgin Islands | $79.17 | $46.08 |
| Montana | $78.81 | $46.08 |
| Pennsylvania | $78.75 | $46.68 |
| Georgia | $78.36 | $47.14 |
| Texas | $77.86 | $45.63 |
| Delaware | $77.78 | $45.44 |
| Nevada | $77.70 | $44.93 |
| Wyoming | $77.00 | $44.27 |
| New Mexico | $76.83 | $46.81 |
| Arizona | $76.54 | $44.82 |
| West Virginia | $76.47 | $48.02 |
| Virginia | $76.07 | $43.89 |
| Utah | $75.65 | $44.88 |
| Louisiana | $75.59 | $45.70 |
| Missouri | $75.33 | $45.30 |
| Ohio | $75.31 | $45.42 |
| Minnesota | $75.08 | $41.40 |
| Vermont | $74.95 | $42.54 |
| North Dakota | $74.66 | $41.93 |
| South Carolina | $74.65 | $44.41 |
| Maine | $74.38 | $43.10 |
| South Dakota | $74.17 | $41.44 |
| Kentucky | $73.67 | $44.57 |
| North Carolina | $73.54 | $43.00 |
| Oklahoma | $72.87 | $43.64 |
| Wisconsin | $72.25 | $40.89 |
| Indiana | $72.22 | $41.88 |
| Idaho | $71.84 | $41.73 |
| Tennessee | $71.84 | $42.09 |
| Kansas | $71.40 | $41.81 |
| Nebraska | $71.30 | $41.09 |
| Mississippi | $71.28 | $43.10 |
| Iowa | $71.10 | $41.15 |
| Alabama | $70.65 | $42.01 |
| Arkansas | $69.63 | $41.51 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64405 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