CPT 64488 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
National average reimbursement for CPT 64488 by major payers:
$173.50
$197.46
$215.62
$238.53
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 64488 | ||||||
United | 64488 | $325.50 | 1063466183 - JAYNE BERNIER | 591212948 - (FL) RADIOLOGY ASSOCIATES OF CLEARWATER, P.A. | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 64488 | $325.50 | 1063466183 - JAYNE BERNIER | 591212948 - (FL) RADIOLOGY ASSOCIATES OF CLEARWATER, P.A. | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 64488 | $250.11 | 1467497081 - PIEDMONT TRIAD ANESTHESIA, PA | 201394536 - (NC) PIEDMONT TRIAD ANESTHESIA PA | NC | Anesthesiology Physician (207L00000X) |
United | 64488 | $250.11 | 1467497081 - PIEDMONT TRIAD ANESTHESIA, PA | 201394536 - (NC) PIEDMONT TRIAD ANESTHESIA PA | NC | Anesthesiology Physician (207L00000X) |
United | 64488 | $200.50 | 1043771967 - HARRISON HOWELL | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Anesthesiology Physician (207L00000X) |
United | 64488 | $114.34 | 1942327366 - CAROLINE SALEEBY | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Surgical Physician Assistant (363AS0400X) |
United | 64488 | $167.77 | 1184964231 - SARAH YELTON | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Certified Registered Nurse Anesthetist (367500000X) |
United | 64488 | $330.39 | 1285672972 - SHAUN O'REAR | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Anesthesiology Physician (207L00000X) |
United | 64488 | $167.77 | 1518045319 - ATHENA UROLOGY SURGERY CENTER LLC | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 64488 | $330.39 | 1790811586 - JACK PASCHAL | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Anesthesiology Physician (207L00000X) |
United | 64488 | $200.50 | 1790811586 - JACK PASCHAL | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Anesthesiology Physician (207L00000X) |
United | 64488 | $330.39 | 1790811586 - JACK PASCHAL | 581501437 - (GA) ANESTHESIA CONSULTANTS OF ATHENS | GA | Anesthesiology Physician (207L00000X) |
United | 64488 | $114.34 | 1386202117 - MELISSA PRATT | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Nurse Practitioner (363L00000X) |
United | 64488 | $220.53 | 1396208922 - JASON CULLEN | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X) |
United | 64488 | $220.53 | 1841361912 - MAMTA MAHAJAN | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Physical Therapist (225100000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 64488 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64488 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 64488 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 |
|---|---|---|
| 64445-CPT | Low | Injection(S) Anesthetic Agent(S) And/Or Steroid; Sciatic Nerve Including Imaging Guidance When Performed (Desc Rvsd 1/1/23) |
| 64447-CPT | Low | Injection(S) Anesthetic Agent(S) And/Or Steroid; Femoral Nerve Including Imaging Guidance When Performed (Desc Rvsd 1/1/23) |
| 64486-CPT | Low | Transversus Abdominis Plane (Tap) Block (Abdominal Plane Block, Rectus Sheath Block) Unilateral; By Injection(S) (Includes Imaging Guidance, When Performed) |
| 64488-CPT | Low | Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Bilateral; By Injections (Includes 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 64488. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64488 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 64488) and we'll show you how you compare in 15 minutes or less.