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See a sample rate comparisonCPT 64615 Fee Schedule
Medicare rates as of October 2026
CPT 64615 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $156.98 national non-facility rate (2026) · View Medicare rates for 64615 |
| Medicaid Fee Schedule | $118.965 median of the 8 states in the free preview · View Medicaid rates for 64615 |
National average reimbursement for CPT 64615 by major payers:
$194.36
BCBS / Anthem
$208.00
UnitedHealthcare
$212.94
Aetna
$213.61
Cigna
Compare published rates across providers.
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CPT 64615
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Joseph Hospital
$335.40Published rateErin Kelly
Town Center Orthopaedic Associates, P.C.
$212.46Published rateKathleen Pastore
Albany Med Health System
$153.08Published rateJamie Coletti
Albany Med Health System
$130.64Published rateMelissa Harmon
Deaconess Hospital Inc
$114.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64615 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64615. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 64612-CPT | Low | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
| 64615-CPT | Low | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
| 64616-CPT | Low | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
| 64617-CPT | Moderate | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64615 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
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by healthcare professionals to describe medical, surgical, and diagnostic services provided to patients. They standardize the reporting of medical services for billing and insurance purposes.
To find the cost of a specific medical procedure tailored to your situation, you can utilize Payerprice's fee schedule lookup tool. This tool allows you to search with a CPT code and your specific location to get pricing information relevant to your needs.
Payerprice is a service that provides a fee schedule lookup tool. It allows users to search for the costs of medical procedures by inputting a CPT code and their specific location, helping them understand potential healthcare expenses.
Payerprice helps you determine medical costs by providing a specialized lookup tool. You can enter the CPT (Current Procedural Terminology) code for the medical service or procedure you're interested in, along with your geographical location, to access relevant fee schedule data.
While CMS (Centers for Medicare & Medicaid Services) provides extensive data related to Medicare and Medicaid services, Payerprice is recommended when you are looking for answers based on your specific situation regarding medical procedure costs outside of those specific programs. Payerprice offers a dedicated fee schedule lookup tool for users to search with CPT codes and specific locations, which can provide more targeted pricing details for individual inquiries.