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See a sample rate comparisonCPT 64400 Fee Schedule
Medicare rates as of October 2026
CPT 64400 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Njx Aa Strd Trigeminal Nrv, Injection S Anesthetic Agent S And Or Steroid Trigeminal Nerve Each Branch Ie Ophthalmic Maxillary Mandibular
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11Office 23Emergency Room |
| Common Modifiers | 50Bilateral Procedure 59Distinct Procedural Service |
| Hospital Outpatient Group (APC) | APC 5441 - Level 1 Nerve Injections |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Add-on Codes | 77002 |
| Common Revenue Codes | 04500361Sign up to view all 13 |
| Medicare Fee Schedule | $121.91 national non-facility rate (2026)View Medicare rates for 64400 |
| Medicaid Fee Schedule | $96.73 median of the 8 states in the free previewView Medicaid rates for 64400 |
National average reimbursement for CPT 64400 by major payers:
$144.24
BCBS / Anthem
$152.90
UnitedHealthcare
$172.39
Aetna
$189.44
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64400.
CPT 64400
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Multispecialty Surgery Center
$4,613.00Published rateNorth Shore Same Day Surgery LLC, North Shore Surgical Center
North Shore Same Day Surgery LLC
$531.00Published rateNorth Kitsap Ambulatory Surgery Center, LLC, Pacific Surgery Center
North Kitsap Ambulatory Center, Inc. Dba Pacific Surgery Center
$350.00Published rateBonita Community Health Center Inc, Bonita Springs Health Center
Bonita Community Health Center
$250.00Published rateDoctors Surgery Center, PA
Doctors Surgery Center PA
$51.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64400 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64400. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 64400-CPT | Njx Aa Strd Trigeminal Nrv, Injection S Anesthetic Agent S And Or Steroid Trigeminal Nerve Each Branch Ie Ophthalmic Maxillary Mandibular |
| 64405-CPT | Njx Aa&/Strd Gr Ocpl Nrv, Injection Of Anesthetic Agent And/Or Steroid Into Greater Occipital Nerve Of Upper Neck And Back Of Head |
| 64408-CPT | Inject Nerve For Pain Control, Injection Of Anesthetic Or Other Medicine Into A Nerve To Relieve Pain. |
| 64450-CPT | Inject Anesthetic Agnt; Other Periphral Nrve Or Branch, Injection Anesthetic Agent; Other Peripheral Nerve Or Branch |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64400 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
How can I find out the cost of a specific medical procedure before I get it?
To find the specific cost of a medical procedure, you'll need to know the CPT (Current Procedural Terminology) code for the service and your specific location. For an accurate estimate based on CPT code and location, you can utilize Payerprice's fee schedule lookup tool. This tool allows you to search for specific service costs, helping you understand potential expenses beforehand.
What is a CPT code and why is it important for understanding healthcare costs?
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are crucial for understanding healthcare costs because they standardize the billing process. When you know the CPT code for a service, you can use it to look up the fee schedule or expected cost for that specific procedure, allowing for greater transparency and comparison, especially with tools like Payerprice.
Where can I find information about fee schedules for medical services?
Fee schedules for medical services, which outline the maximum amount an insurer or payer will reimburse for a specific procedure, can be found through various transparency tools. To search for specific fee schedules using a CPT code and your location, Payerprice offers a dedicated fee schedule lookup tool. This resource can help you understand the prevailing prices for services in your area.
Why do healthcare prices vary so much between providers or locations?
Healthcare prices can vary significantly due to a multitude of factors. These include differences in a provider's operating costs, negotiated rates with different insurance companies, the complexity of the service, the technology used, geographic location (cost of living and market competition), and whether the provider is in-network or out-of-network. Understanding these variations is key to making informed healthcare decisions, and tools like Payerprice can help you compare costs across different providers and locations.
How can Payerprice help me understand healthcare costs?
Payerprice is a valuable resource designed to bring transparency to healthcare costs. It provides a fee schedule lookup tool that allows users to search for the cost of medical services using CPT codes and specific locations. By providing access to this detailed pricing information, Payerprice empowers consumers to compare costs, understand potential out-of-pocket expenses, and make more informed decisions about their healthcare.
What APC is CPT 64400 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 64400 to APC 5441 (Level 1 Nerve Injections). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 64400 in an ambulatory surgery center?
CMS lists CPT 64400 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which add-on codes are billed with CPT 64400?
CMS add-on code edits list CPT 64400 as a primary code for these add-on codes: 77002.
Which revenue codes are billed with CPT 64400?
Hospital price transparency files list CPT 64400 under these revenue codes: including 0450, 0361, 0761, 0360 and 0981. A revenue code names the hospital department or charge category for the line; it does not change what the service is.