# CPT 64420: Injection Aa&/strd Intercostal Nrv Single Lvl

Medicare CPT 64420 pays $105.88 in a non-facility setting and $52.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $94.86 in Arkansas to $126.47 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64420-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $105.88 |
| National facility | $52.44 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $126.47 | $69.56 |
| District of Columbia | $120.18 | $57.23 |
| California | $118.19 | $54.95 |
| New Jersey | $116.48 | $56.31 |
| New York | $116.46 | $56.84 |
| Washington | $115.85 | $54.92 |
| Massachusetts | $114.79 | $54.74 |
| Hawaii | $113.90 | $53.14 |
| Connecticut | $112.43 | $54.88 |
| Colorado | $109.98 | $53.12 |
| Maryland | $109.45 | $53.74 |
| Oregon | $108.96 | $52.66 |
| Florida | $108.95 | $55.33 |
| Rhode Island | $108.46 | $53.26 |
| New Hampshire | $108.29 | $52.65 |
| Puerto Rico | $106.58 | $52.55 |
| Virgin Islands | $106.58 | $52.55 |
| Illinois | $106.45 | $54.82 |
| Montana | $105.87 | $52.43 |
| Minnesota | $105.73 | $50.74 |
| Nevada | $105.45 | $51.95 |
| Wyoming | $105.10 | $51.66 |
| Pennsylvania | $105.02 | $52.67 |
| Delaware | $104.94 | $52.14 |
| Texas | $104.81 | $52.20 |
| North Dakota | $104.10 | $50.65 |
| South Dakota | $103.88 | $50.44 |
| Virginia | $103.84 | $51.31 |
| Vermont | $103.72 | $50.81 |
| Georgia | $103.41 | $52.43 |
| Arizona | $103.35 | $51.56 |
| Michigan | $102.97 | $52.79 |
| Maine | $101.74 | $50.68 |
| Utah | $101.51 | $51.27 |
| Wisconsin | $100.95 | $49.76 |
| New Mexico | $100.86 | $51.85 |
| South Carolina | $100.28 | $50.90 |
| Missouri | $100.25 | $51.21 |
| North Carolina | $100.25 | $50.39 |
| Louisiana | $100.13 | $51.33 |
| Ohio | $100.01 | $51.21 |
| Indiana | $99.39 | $49.85 |
| Idaho | $98.87 | $49.71 |
| Nebraska | $98.79 | $49.46 |
| Tennessee | $98.32 | $49.74 |
| Iowa | $98.30 | $49.41 |
| West Virginia | $98.29 | $51.85 |
| Kentucky | $98.10 | $50.59 |
| Oklahoma | $97.96 | $50.23 |
| Kansas | $97.88 | $49.57 |
| Alabama | $96.10 | $49.34 |
| Mississippi | $95.67 | $49.66 |
| Arkansas | $94.86 | $48.96 |

## 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 64420 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