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See a sample rate comparisonCPT 64473 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.
Lower Xtr Fascial Plane Block Uni Injection, Lower Extremity Fascial Plane Block Unilateral; By Injection(S) Including Imaging Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64473 |
| Medicaid Fee Schedule | View Medicaid rates for 64473 |
National average reimbursement for CPT 64473 by major payers:
$110.57
$84.57
$69.51
$105.15
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CPT 64473
5 of 25 sample ratesHigher to lower in this preview
Walterboro Community Hospital, Inc.
Walterboro Community Hospital Inc
$4,401.00Published rateBaptist Hospitals Of Southeast Texas, Memorial Hermann Baptist Beaumont Hospital
Baptist Hospitals Of Southeast Texas
$1,606.00Published rateTexas Health Hospital Frisco
$1,181.00Published rateOrthopaedic Sports Specialists Of Louisiana LLC, Orthola
Orthopaedic Sports Specialists
$194.32Published rateJeffrey Sketchler
Lmg, LLC
$124.65Published rate
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See a sample payer proposalCPT 64473 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64473 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 64473 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 |
|---|---|---|
| 64473-CPT | Low | Lower Xtr Fascial Plane Block Uni Injection, Lower Extremity Fascial Plane Block Unilateral; By Injection(S) Including Imaging Guidance When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64473. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64473 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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