1. Nerve block injection, anesthetic agent; trigeminal nerve, any division or branch (HCPCS 64400) — $46.59
2. Nerve block injection, lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) (HCPCS 64449) — $288.44
3. Nerve block injection, other peripheral nerve or branch (HCPCS 64450) — $37.50
4. Nerve block injections(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (HCPCS 64455) — $15.62
5. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level (HCPCS 64490) — $288.44
6. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (list separately in addition to code for primary procedure) (HCPCS 64491) — $102.38
7. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (list separately in addition to code for primary procedure) (HCPCS 64492) — $102.38
8. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level (HCPCS 64493) — $288.44
9. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (list separately in addition to code for primary procedure) (HCPCS 64494) — $102.38
10. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (list separately in addition to code for primary procedure) (HCPCS 64495) — $102.38
11. Nerve block injection, anesthetic agent; sphenopalatine ganglion (HCPCS 64505) — $32.95
Source: Federal Register, Vol. 74, No. 223 (pdf).
