# CPT 64425: Injection Aa&/strd Ilioinguinal Ih Nerves

Medicare CPT 64425 pays $120.91 in a non-facility setting and $49.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.44 in Arkansas to $141.46 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64425-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $120.91 |
| National facility | $49.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $141.46 | $65.70 |
| District of Columbia | $138.18 | $54.37 |
| California | $136.32 | $52.14 |
| New Jersey | $133.58 | $53.47 |
| New York | $133.39 | $54.02 |
| Washington | $133.23 | $52.13 |
| Massachusetts | $131.89 | $51.96 |
| Hawaii | $131.31 | $50.42 |
| Connecticut | $128.76 | $52.13 |
| Colorado | $126.10 | $50.40 |
| Maryland | $125.19 | $51.03 |
| Oregon | $124.90 | $49.95 |
| Florida | $124.04 | $52.66 |
| New Hampshire | $124.03 | $49.97 |
| Rhode Island | $124.02 | $50.53 |
| Puerto Rico | $121.80 | $49.88 |
| Virgin Islands | $121.80 | $49.88 |
| Minnesota | $121.26 | $48.06 |
| Montana | $120.91 | $49.76 |
| Illinois | $120.89 | $52.15 |
| Nevada | $120.49 | $49.28 |
| Wyoming | $120.13 | $48.99 |
| Delaware | $119.75 | $49.46 |
| Pennsylvania | $119.67 | $49.98 |
| Texas | $119.56 | $49.52 |
| North Dakota | $119.13 | $47.98 |
| South Dakota | $118.92 | $47.77 |
| Virginia | $118.58 | $48.65 |
| Vermont | $118.57 | $48.14 |
| Arizona | $117.84 | $48.90 |
| Georgia | $117.64 | $49.76 |
| Michigan | $116.94 | $50.14 |
| Maine | $116.00 | $48.02 |
| Utah | $115.49 | $48.62 |
| Wisconsin | $115.25 | $47.10 |
| New Mexico | $114.45 | $49.21 |
| North Carolina | $114.12 | $47.74 |
| South Carolina | $113.99 | $48.25 |
| Missouri | $113.85 | $48.56 |
| Louisiana | $113.64 | $48.69 |
| Ohio | $113.53 | $48.57 |
| Indiana | $113.15 | $47.20 |
| Idaho | $112.51 | $47.06 |
| Nebraska | $112.48 | $46.82 |
| Iowa | $111.86 | $46.76 |
| Tennessee | $111.77 | $47.10 |
| Kansas | $111.24 | $46.93 |
| Kentucky | $111.20 | $47.95 |
| Oklahoma | $111.13 | $47.60 |
| West Virginia | $111.05 | $49.23 |
| Alabama | $108.96 | $46.71 |
| Mississippi | $108.29 | $47.03 |
| Arkansas | $107.44 | $46.33 |

## 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 64425 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