| Code | Description | States | Median rate |
|---|---|---|---|
| 64400 | Nerve block, trigeminal nerve | 48 | $88.37 |
| 64405 | Nerve block of the occipital nerve (back of head) | 48 | $63.86 |
| 64415 | Nerve block, brachial plexus (arm) | 48 | $111.14 |
| 64416 | Brachial plexus nerve block by continuous catheter | 47 | $75.34 |
| 64420 | Nerve block, one intercostal (rib) nerve | 48 | $85.42 |
| 64421 | Nerve block, multiple intercostal (rib) nerves | 48 | $34.17 |
| 64445 | Nerve block, sciatic nerve | 48 | $117.00 |
| 64446 | Sciatic nerve block by continuous catheter | 48 | $73.57 |
| 64447 | Nerve block, femoral nerve | 48 | $88.77 |
| 64448 | Femoral nerve block by continuous catheter | 48 | $69.54 |
| 64449 | Lumbar plexus nerve block by continuous catheter | 46 | $63.23 |
| 64450 | Nerve block of another peripheral nerve or branch | 48 | $65.33 |
| 64451 | Sacroiliac joint nerve block with imaging | 44 | $187.81 |
| 64454 | Knee (genicular) nerve block | 43 | $182.52 |
| 64455 | Foot nerve injection for Morton's neuroma | 47 | $40.61 |
| 64461 | Chest paravertebral nerve block, single site | 46 | $118.73 |
| 64462 | Chest paravertebral nerve block, each added site (add-on) | 44 | $65.07 |
| 64463 | Chest paravertebral nerve block by continuous catheter | 45 | $181.16 |
| 64483 | Epidural steroid injection, lumbar or sacral, with imaging | 48 | $205.31 |
| 64484 | Nerve-root epidural injection, lower spine, each added level | 48 | $98.95 |
| 64486 | Abdominal wall (TAP) nerve block, one side, injection | 43 | $95.87 |
| 64487 | Abdominal wall (TAP) nerve block, one side, catheter | 43 | $161.04 |
| 64488 | Abdominal wall (TAP) nerve block, both sides, injection | 43 | $116.79 |
| 64489 | Abdominal wall (TAP) nerve block, both sides, catheter | 43 | $257.09 |
| 64490 | Facet joint injection, neck or mid-back, first level | 48 | $150.97 |
| 64491 | Neck or mid-back facet joint injection, second level | 47 | $77.04 |
| 64492 | Neck or mid-back facet joint injection, third level | 47 | $77.28 |
| 64493 | Facet joint injection, lumbar, first level, with imaging | 48 | $138.41 |
| 64494 | Facet joint injection, lower spine, second level | 47 | $72.97 |
| 64495 | Lower back facet joint injection, third level | 47 | $74.09 |
| 64510 | Nerve block, stellate ganglion (neck) | 48 | $123.20 |
| 64517 | Superior hypogastric plexus nerve block | 46 | $160.89 |
| 64553 | Cranial nerve stimulator lead placement through the skin | 43 | $2,363.21 |
| 64555 | Peripheral nerve stimulator lead placement through the skin | 44 | $1,405.05 |
| 64561 | Sacral nerve stimulator lead placement through the skin | 47 | $635.95 |
| 64566 | Tibial nerve stimulation for bladder control, per session | 40 | $95.75 |
| 64568 | Vagus nerve stimulator lead and generator placement | 48 | $537.01 |
| 64569 | Vagus nerve stimulator lead revision or replacement | 48 | $580.33 |
| 64570 | Vagus nerve stimulator lead and generator removal | 48 | $594.97 |
| 64575 | Open placement of a peripheral nerve stimulator lead | 46 | $254.34 |
| 64580 | Open placement of a neuromuscular stimulator lead | 41 | $259.25 |
| 64581 | Open placement of a sacral nerve stimulator lead | 44 | $571.23 |
| 64582 | Hypoglossal nerve stimulator implant for sleep apnea | 39 | $676.06 |
| 64583 | Hypoglossal nerve stimulator lead revision or replacement | 37 | $651.82 |
| 64584 | Hypoglossal nerve stimulator removal | 39 | $545.73 |
| 64611 | Botulinum injection into the salivary glands, both sides | 46 | $103.10 |
| 64612 | Botox injection for facial muscle spasm, one side | 48 | $115.21 |
| 64615 | Botulinum toxin injection for chronic migraine | 48 | $121.38 |
| 64616 | Botulinum toxin injection into neck muscles | 47 | $109.96 |
| 64624 | Knee (genicular) nerve ablation | 40 | $331.91 |
| 64625 | Sacroiliac joint nerve ablation with imaging | 38 | $391.34 |
| 64628 | Basivertebral nerve ablation for back pain, first 2 bones | 35 | $354.94 |
| 64629 | Basivertebral nerve ablation, each added vertebra | 33 | $162.19 |
| 64632 | Foot nerve destruction (Morton's neuroma) | 46 | $72.48 |
| 64633 | Nerve destruction for facet joint pain, neck, first joint | 48 | $354.00 |
| 64635 | Nerve destruction for facet joint pain, lower spine, first joint | 47 | $354.30 |
| 64636 | Lower back facet nerve ablation, each added joint | 47 | $177.51 |
| 64642 | Botox injection, one arm or leg, 1 to 4 muscles | 48 | $120.78 |
| 64643 | Botulinum injection, each added limb, 1 to 4 muscles | 47 | $73.84 |
| 64644 | Botox injection, one arm or leg, 5 or more muscles | 48 | $141.17 |
| 64645 | Botulinum injection, one limb, 5 or more muscles | 47 | $95.20 |
| 64646 | Botulinum injection, trunk, 1 to 5 muscles | 47 | $128.86 |
| 64647 | Botulinum injection, trunk, 6 or more muscles | 46 | $143.04 |
| 64650 | Botulinum injection for underarm sweating, both sides | 41 | $66.47 |
| 64653 | Botulinum injection for sweating, other areas, per day | 40 | $80.17 |
| 64712 | Sciatic nerve release, open | 48 | $470.48 |
| 64718 | Ulnar nerve release or move at the elbow | 48 | $464.15 |
| 64719 | Ulnar nerve release at the wrist | 48 | $329.78 |
| 64721 | Carpal tunnel release, open | 48 | $369.20 |
| 64760 | Vagus nerve cut, abdominal | 45 | $409.90 |
| 64774 | Removal of a nerve tumor (neuroma), skin nerve | 48 | $321.68 |
| 64776 | Removal of a nerve tumor (neuroma), finger or toe | 48 | $301.75 |
| 64778 | Nerve tumor (neuroma) removal, each added finger or toe | 47 | $148.08 |
| 64782 | Removal of a nerve tumor (neuroma), hand or foot | 48 | $349.41 |
| 64783 | Nerve tumor (neuroma) removal, hand or foot, each added | 47 | $181.43 |
| 64784 | Removal of a nerve tumor (neuroma), major nerve | 48 | $544.63 |
| 64786 | Removal of a nerve tumor (neuroma), sciatic nerve | 48 | $834.78 |
| 64788 | Removal of a nerve sheath tumor, skin nerve | 48 | $307.94 |
| 64790 | Removal of a nerve sheath tumor, major nerve | 48 | $635.28 |
| 64792 | Removal of a nerve sheath tumor, extensive | 48 | $886.40 |
| 64795 | Nerve biopsy | 48 | $160.95 |
| 64831 | Nerve repair, finger or toe, one nerve | 48 | $510.51 |
| 64832 | Nerve repair, finger or toe, each added nerve | 48 | $247.18 |
| 64834 | Sensory nerve repair, hand or foot | 48 | $544.52 |
| 64837 | Nerve repair, hand or foot, each added nerve | 47 | $300.08 |
| 64840 | Posterior tibial nerve repair | 48 | $723.20 |
| 64858 | Sciatic nerve repair | 48 | $890.10 |
| 64859 | Nerve repair, each added major nerve (add-on) | 46 | $206.41 |
| 64861 | Brachial plexus (arm nerve network) repair | 48 | $1,138.12 |
| 64862 | Lumbar plexus (leg nerve network) repair | 48 | $1,072.05 |
| 64864 | Facial nerve repair outside the skull | 48 | $655.09 |
| 64885 | Nerve graft, head or neck, up to 4 cm | 47 | $868.88 |
| 64886 | Nerve graft, head or neck, over 4 cm | 48 | $1,037.85 |
| 64890 | Nerve graft, hand or foot, single strand, up to 4 cm | 48 | $813.81 |
| 64891 | Nerve graft, hand or foot, single strand, over 4 cm | 48 | $843.14 |
| 64892 | Nerve graft, arm or leg, single strand, up to 4 cm | 48 | $814.63 |
| 64893 | Nerve graft, arm or leg, single strand, over 4 cm | 48 | $858.42 |
| 64895 | Nerve graft, hand or foot, multiple strands, up to 4 cm | 48 | $1,014.74 |
| 64896 | Nerve graft, hand or foot, multiple strands, over 4 cm | 48 | $1,109.13 |
| 64897 | Nerve graft, arm or leg, multiple strands, up to 4 cm | 48 | $944.89 |
| 64898 | Nerve graft, arm or leg, multiple strands, over 4 cm | 48 | $1,023.28 |
| 64901 | Nerve graft, each added nerve, single strand | 47 | $472.80 |
| 64902 | Nerve graft, each added nerve, multiple strands | 47 | $542.37 |
| 64910 | Nerve repair with a synthetic tube or vein graft, each | 45 | $574.42 |
| 64911 | Nerve repair with the patient's own vein graft, each | 44 | $769.78 |
| 64912 | Nerve repair with donor nerve graft, first strand | 40 | $675.48 |
| 64913 | Nerve repair with donor nerve graft, each added strand | 39 | $127.03 |
| 64999 | Unlisted nervous system procedure | 13 | $276.70 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.