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See a sample rate comparisonCPT 64517 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, Anesthetic Agent; Superior Hypogastric Plexus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64517 |
| Medicaid Fee Schedule | View Medicaid rates for 64517 |
National average reimbursement for CPT 64517 by major payers:
$230.31
$252.47
$270.49
$306.35
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CPT 64517
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Mansfield, LLC, Baylor Scott & White Surgicare - Mansfield
$2,172.00Published rateCharlotte Endoscopic Surgery Center LLC, Charlotte Surgery Center
Charlotte Endoscopic Surgery Center, LLC
$893.00Published rateOrchard Creek Surgery Center, Orchard Creek Surgery Center
Orchard Creek Surgery Center
$641.00Published ratePain Management Professionals Of Baytown PLLC, Advanced Pain Management Specialists Of Baytown
Pain Management Professionals Of Baytown PLLC
$413.00Published ratePrince Georges Multi Specialty Surgery Center
$115.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64517 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64517 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 64517 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 |
|---|---|---|
| 64510-CPT | Low | Inject Anesthetic Agnt; Stellate Ganglion (Cervcal Sympathet), Injection Anesthetic Agent; Stellate Ganglion (Cervical Sympathetic) |
| 64517-CPT | Moderate | Injection, Anesthetic Agent; Superior Hypogastric Plexus |
| 64520-CPT | Moderate | Inject Anesthetic Agnt; Lumbar Or Thoracic (Paravertebr Sympath, Injection Anesthetic Agent; Lumbar Or Thoracic (Paravertebral Sympath |
| 64530-CPT | Moderate | Inject Anesthetic Agnt; Celiac Plexus W//W/O Radiologic, Injection Anesthetic Agent; Celiac Plexus With Or Without Radiologic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64517. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64517 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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