# CPT 64505: Injection Anes Agent Sphenopalatine Ganglion

Medicare CPT 64505 pays $150.30 in a non-facility setting and $97.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $131.01 in Arkansas to $172.87 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64505-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $150.30 |
| National facility | $97.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $172.87 | $116.67 |
| District of Columbia | $170.72 | $108.56 |
| New York | $167.75 | $108.87 |
| New Jersey | $165.39 | $105.96 |
| California | $163.17 | $100.72 |
| Florida | $162.63 | $109.68 |
| Washington | $162.07 | $101.91 |
| Massachusetts | $161.10 | $101.81 |
| Connecticut | $161.03 | $104.20 |
| Illinois | $158.88 | $107.89 |
| Hawaii | $157.73 | $97.72 |
| Maryland | $155.83 | $100.81 |
| Colorado | $154.02 | $97.87 |
| Rhode Island | $152.85 | $98.34 |
| New Hampshire | $152.54 | $97.60 |
| Oregon | $152.14 | $96.54 |
| Puerto Rico | $151.14 | $97.78 |
| Virgin Islands | $151.14 | $97.78 |
| Montana | $150.28 | $97.51 |
| Michigan | $149.79 | $100.24 |
| Pennsylvania | $149.67 | $97.98 |
| Georgia | $148.58 | $98.23 |
| Nevada | $148.28 | $95.45 |
| Texas | $148.20 | $96.25 |
| Delaware | $148.13 | $95.99 |
| Wyoming | $147.00 | $94.23 |
| Arizona | $145.59 | $94.45 |
| New Mexico | $145.12 | $96.73 |
| Virginia | $144.99 | $93.11 |
| Minnesota | $144.07 | $89.77 |
| West Virginia | $143.57 | $97.71 |
| Utah | $143.42 | $93.81 |
| Vermont | $143.10 | $90.86 |
| Louisiana | $142.79 | $94.61 |
| North Dakota | $142.76 | $89.99 |
| Missouri | $142.43 | $94.00 |
| Ohio | $142.30 | $94.12 |
| South Dakota | $141.88 | $89.10 |
| Maine | $141.42 | $90.99 |
| South Carolina | $141.32 | $92.56 |
| North Carolina | $139.48 | $90.24 |
| Kentucky | $138.88 | $91.97 |
| Wisconsin | $137.61 | $87.05 |
| Oklahoma | $137.50 | $90.38 |
| Indiana | $136.98 | $88.06 |
| Idaho | $136.16 | $87.61 |
| Tennessee | $135.95 | $87.98 |
| Nebraska | $135.23 | $86.52 |
| Kansas | $135.06 | $87.36 |
| Iowa | $134.73 | $86.44 |
| Mississippi | $134.04 | $88.60 |
| Alabama | $133.15 | $86.97 |
| Arkansas | $131.01 | $85.68 |

## 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 64505 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