# CPT 64415: Injection Aa&/strd Brachial Plexus W/img Gdn

Medicare CPT 64415 pays $154.98 in a non-facility setting and $66.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $138.63 in Arkansas to $184.21 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64415-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Anesthesiology, Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $154.98 |
| National facility | $66.47 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $184.21 | $89.94 |
| District of Columbia | $176.26 | $71.99 |
| California | $173.62 | $68.89 |
| New Jersey | $170.70 | $71.04 |
| New York | $170.55 | $71.80 |
| Washington | $169.98 | $69.08 |
| Massachusetts | $168.37 | $68.92 |
| Hawaii | $167.30 | $66.66 |
| Connecticut | $164.67 | $69.34 |
| Colorado | $161.23 | $67.05 |
| Maryland | $160.27 | $68.00 |
| Oregon | $159.73 | $66.48 |
| Florida | $159.12 | $70.31 |
| Rhode Island | $158.85 | $67.41 |
| New Hampshire | $158.67 | $66.53 |
| Puerto Rico | $156.04 | $66.56 |
| Virgin Islands | $156.04 | $66.56 |
| Illinois | $155.35 | $69.83 |
| Minnesota | $155.12 | $64.04 |
| Montana | $154.97 | $66.46 |
| Nevada | $154.41 | $65.81 |
| Wyoming | $153.94 | $65.43 |
| Pennsylvania | $153.60 | $66.90 |
| Delaware | $153.59 | $66.14 |
| Texas | $153.38 | $66.24 |
| North Dakota | $152.60 | $64.09 |
| South Dakota | $152.32 | $63.81 |
| Virginia | $152.06 | $65.06 |
| Vermont | $151.98 | $64.35 |
| Arizona | $151.23 | $65.47 |
| Georgia | $151.14 | $66.70 |
| Michigan | $150.38 | $67.27 |
| Maine | $148.94 | $64.37 |
| Utah | $148.44 | $65.24 |
| Wisconsin | $147.91 | $63.12 |
| New Mexico | $147.30 | $66.14 |
| North Carolina | $146.69 | $64.10 |
| South Carolina | $146.61 | $64.83 |
| Missouri | $146.50 | $65.28 |
| Louisiana | $146.28 | $65.46 |
| Ohio | $146.12 | $65.31 |
| Indiana | $145.46 | $63.41 |
| Idaho | $144.69 | $63.26 |
| Nebraska | $144.62 | $62.92 |
| Iowa | $143.88 | $62.89 |
| Tennessee | $143.82 | $63.37 |
| West Virginia | $143.32 | $66.40 |
| Kentucky | $143.29 | $64.61 |
| Kansas | $143.18 | $63.17 |
| Oklahoma | $143.15 | $64.11 |
| Alabama | $140.46 | $63.02 |
| Mississippi | $139.73 | $63.52 |
| Arkansas | $138.63 | $62.59 |

## 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 64415 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