# CPT 64450: Injection, anesthetic agent, other peripheral nerve/branch

Medicare CPT 64450 pays $80.83 in a non-facility setting and $38.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.07 in Arkansas to $95.49 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64450-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $80.83 |
| National facility | $38.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $95.49 | $50.31 |
| District of Columbia | $92.04 | $42.07 |
| California | $90.55 | $40.36 |
| New Jersey | $89.10 | $41.33 |
| New York | $89.08 | $41.76 |
| Washington | $88.68 | $40.33 |
| Massachusetts | $87.84 | $40.19 |
| Hawaii | $87.26 | $39.03 |
| Connecticut | $85.98 | $40.29 |
| Colorado | $84.07 | $38.94 |
| Maryland | $83.63 | $39.41 |
| Oregon | $83.28 | $38.59 |
| Florida | $83.22 | $40.66 |
| Rhode Island | $82.83 | $39.01 |
| New Hampshire | $82.76 | $38.60 |
| Puerto Rico | $81.39 | $38.50 |
| Virgin Islands | $81.39 | $38.50 |
| Illinois | $81.22 | $40.23 |
| Montana | $80.83 | $38.41 |
| Minnesota | $80.75 | $37.10 |
| Nevada | $80.49 | $38.03 |
| Wyoming | $80.22 | $37.80 |
| Pennsylvania | $80.10 | $38.55 |
| Delaware | $80.07 | $38.16 |
| Texas | $79.96 | $38.20 |
| North Dakota | $79.44 | $37.02 |
| South Dakota | $79.28 | $36.86 |
| Virginia | $79.22 | $37.52 |
| Vermont | $79.13 | $37.14 |
| Georgia | $78.84 | $38.37 |
| Arizona | $78.82 | $37.71 |
| Michigan | $78.48 | $38.66 |
| Maine | $77.55 | $37.02 |
| Utah | $77.35 | $37.47 |
| Wisconsin | $76.94 | $36.30 |
| New Mexico | $76.81 | $37.91 |
| South Carolina | $76.37 | $37.17 |
| North Carolina | $76.36 | $36.78 |
| Missouri | $76.34 | $37.41 |
| Louisiana | $76.24 | $37.50 |
| Ohio | $76.14 | $37.41 |
| Indiana | $75.68 | $36.36 |
| Idaho | $75.27 | $36.24 |
| Nebraska | $75.21 | $36.06 |
| Iowa | $74.82 | $36.01 |
| Tennessee | $74.82 | $36.26 |
| West Virginia | $74.75 | $37.89 |
| Kentucky | $74.63 | $36.91 |
| Oklahoma | $74.52 | $36.64 |
| Kansas | $74.48 | $36.13 |
| Alabama | $73.05 | $35.94 |
| Mississippi | $72.70 | $36.18 |
| Arkansas | $72.07 | $35.63 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64450 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