# CPT 64445: Injection Aa&/strd Sciatic Nerve W/img Gdn

Medicare CPT 64445 pays $173.35 in a non-facility setting and $66.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $153.59 in Arkansas to $201.80 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/64445-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Anesthesiology, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $173.35 |
| National facility | $66.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $201.80 | $87.62 |
| District of Columbia | $198.25 | $71.95 |
| California | $195.21 | $68.35 |
| New Jersey | $191.59 | $70.86 |
| New York | $191.51 | $71.90 |
| Washington | $190.94 | $68.71 |
| Massachusetts | $189.04 | $68.59 |
| Hawaii | $188.08 | $66.18 |
| Connecticut | $184.78 | $69.30 |
| Colorado | $180.67 | $66.59 |
| Maryland | $179.56 | $67.78 |
| Oregon | $178.91 | $65.95 |
| Florida | $178.50 | $70.93 |
| New Hampshire | $177.76 | $66.15 |
| Rhode Island | $177.73 | $66.97 |
| Puerto Rico | $174.63 | $66.23 |
| Virgin Islands | $174.63 | $66.23 |
| Illinois | $173.93 | $70.33 |
| Minnesota | $173.39 | $63.06 |
| Montana | $173.34 | $66.12 |
| Nevada | $172.64 | $65.31 |
| Wyoming | $172.05 | $64.83 |
| Delaware | $171.60 | $65.67 |
| Pennsylvania | $171.58 | $66.57 |
| Texas | $171.34 | $65.79 |
| North Dakota | $170.37 | $63.16 |
| South Dakota | $170.02 | $62.81 |
| Virginia | $169.79 | $64.39 |
| Vermont | $169.65 | $63.50 |
| Arizona | $168.82 | $64.93 |
| Georgia | $168.75 | $66.47 |
| Michigan | $167.90 | $67.22 |
| Maine | $166.01 | $63.56 |
| Utah | $165.46 | $64.68 |
| Wisconsin | $164.72 | $62.01 |
| New Mexico | $164.16 | $65.84 |
| North Carolina | $163.31 | $63.27 |
| South Carolina | $163.26 | $64.19 |
| Missouri | $163.15 | $64.76 |
| Louisiana | $162.89 | $65.01 |
| Ohio | $162.70 | $64.81 |
| Indiana | $161.80 | $62.41 |
| Idaho | $160.88 | $62.24 |
| Nebraska | $160.77 | $61.81 |
| Iowa | $159.88 | $61.78 |
| Tennessee | $159.85 | $62.39 |
| West Virginia | $159.41 | $66.24 |
| Kentucky | $159.28 | $63.97 |
| Oklahoma | $159.08 | $63.34 |
| Kansas | $159.07 | $62.14 |
| Alabama | $155.81 | $62.00 |
| Mississippi | $154.96 | $62.64 |
| Arkansas | $153.59 | $61.49 |

## 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 64445 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