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See a sample rate comparisonCPT 64415 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection Aa&/Strd Brachial Plexus W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Brachial Plexus Including Imaging Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64415 |
| Medicaid Fee Schedule | View Medicaid rates for 64415 |
National average reimbursement for CPT 64415 by major payers:
$170.86
$167.15
$193.71
$118.26
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CPT 64415
5 of 25 sample ratesHigher to lower in this preview
Jeremy Ferris
Emory University
$402.52Published rateNabile Safdar
Emory University
$342.14Published rateSanjay Sharma
Emory University
$335.46Published rateLauren Nosanov
Emory University
$285.14Published rateDaniel Barboto
Emory University
$223.41Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64415 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64415 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 64415 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 64415-CPT | Low | Injection Aa&/Strd Brachial Plexus W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Brachial Plexus Including Imaging Guidance When Performed |
| 64416-CPT | Low | Njx Aa Strd Brch Pl Nfs Img, Injection S Anesthetic Agent S And Or Steroid Brachial Plexus Continuous Infusion By Catheter Including Catheter Placement Including Imaging Guidance When Performed |
| 64417-CPT | Low | Injection Aa&/Strd Axillary Nerve W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Axillary Nerve Including Imaging Guidance When Performed |
| 64450-CPT | Low | 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 64415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64415 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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