# CPT 64418: Injection Aa&/strd Suprascapular Nerve

Medicare CPT 64418 pays $89.85 in a non-facility setting and $48.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $80.96 in Arkansas to $109.35 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/64418-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Anesthesiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $89.85 |
| National facility | $48.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $109.35 | $64.88 |
| District of Columbia | $101.17 | $51.99 |
| New York | $98.70 | $52.11 |
| California | $98.69 | $49.29 |
| New Jersey | $98.35 | $51.34 |
| Washington | $97.26 | $49.66 |
| Massachusetts | $96.52 | $49.61 |
| Connecticut | $95.22 | $50.25 |
| Hawaii | $95.21 | $47.74 |
| Florida | $93.49 | $51.60 |
| Maryland | $92.74 | $49.22 |
| Colorado | $92.70 | $48.28 |
| Oregon | $91.82 | $47.83 |
| Rhode Island | $91.80 | $48.67 |
| Illinois | $91.62 | $51.28 |
| New Hampshire | $91.46 | $47.99 |
| Puerto Rico | $90.35 | $48.14 |
| Virgin Islands | $90.35 | $48.14 |
| Montana | $89.84 | $48.09 |
| Pennsylvania | $89.39 | $48.50 |
| Nevada | $89.29 | $47.49 |
| Delaware | $89.05 | $47.80 |
| Texas | $89.00 | $47.90 |
| Wyoming | $88.89 | $47.14 |
| Minnesota | $88.72 | $45.76 |
| Georgia | $88.31 | $48.47 |
| Michigan | $88.27 | $49.07 |
| Virginia | $87.91 | $46.87 |
| Arizona | $87.76 | $47.30 |
| North Dakota | $87.67 | $45.91 |
| Vermont | $87.53 | $46.20 |
| South Dakota | $87.41 | $45.66 |
| Utah | $86.45 | $47.20 |
| New Mexico | $86.40 | $48.11 |
| Maine | $86.23 | $46.33 |
| Missouri | $85.64 | $47.32 |
| Louisiana | $85.63 | $47.51 |
| Ohio | $85.49 | $47.37 |
| South Carolina | $85.46 | $46.89 |
| Wisconsin | $85.19 | $45.19 |
| North Carolina | $85.14 | $46.19 |
| West Virginia | $84.82 | $48.54 |
| Indiana | $84.28 | $45.57 |
| Kentucky | $83.94 | $46.82 |
| Idaho | $83.88 | $45.47 |
| Nebraska | $83.68 | $45.14 |
| Oklahoma | $83.63 | $46.35 |
| Tennessee | $83.56 | $45.61 |
| Iowa | $83.35 | $45.14 |
| Kansas | $83.18 | $45.44 |
| Alabama | $81.95 | $45.42 |
| Mississippi | $81.88 | $45.93 |
| Arkansas | $80.96 | $45.09 |

## 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 64418 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