What is the standard insurance baseline for CPT 64415?

The standard insurance baseline reimbursement rate is $67.34. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection of Anesthetic Agent and or Steroid Into Arm Nerve Bundle Brachial Plexus

CPT 64415Medical Service

Injection of Anesthetic Agent and or Steroid Into Arm Nerve Bundle Brachial Plexus

Q: What do doctors typically charge for Injection of Anesthetic Agent and or Steroid Into Arm Nerve Bundle Brachial Plexus?

The nationwide median physician charge for Injection of Anesthetic Agent and or Steroid Into Arm Nerve Bundle Brachial Plexus (CPT 64415) is $897.68. Doctor billed charges vary based on geographic region, setting, and overhead.

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus). Clinical pricing breakdown and utilization metrics across 5,061 practicing doctors nationwide.

$897.68

Peer Median Charge

Gross billed rate

$67.34

Standard Baseline

Customary allowable

13.3x

National Markup

Charge vs baseline

5,061

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $897.68. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $67.34 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 64415 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"