CPT code 64415: Brachial plexus block, single injection2026 Medicare rate & RVUs in El Centro, CA
Reports a single injection to block the brachial plexus, commonly for anesthesia or pain control during shoulder and upper-arm procedures.
In El Centro, CA, Medicare pays $163.78 for 64415 in the office and $66.77 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64415 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64415 covers
This service is a single injection of anesthetic, steroid, or both to block the brachial plexus. Anesthesiologists, pain physicians, and other clinicians performing regional anesthesia commonly use it for perioperative anesthesia or analgesia for shoulder and upper-arm procedures. The approach may be interscalene, supraclavicular, or infraclavicular, depending on the intended block. Imaging guidance, when performed, is included in the service.
Report this code for a single-injection brachial plexus block; use the continuous-infusion catheter code when the clinician places a catheter for ongoing infusion instead. Document the indication, side, injection approach, medication, and technique, including imaging guidance when used. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 identifies a bilateral service, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How El Centro, CA compares for 64415
Across 109 of 109 payment localities, the office rate for 64415 runs from $138.63 in Arkansas to $203.66 in San Benito County, CA. El Centro, CA pays $163.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$163.78
- Bakersfield, CA · California$164.15+$0.37
- Chico, CA · California$163.76−$0.02
- Fresno, CA · California$163.76−$0.02
- Hanford, CA · California$163.76−$0.02
- Los Angeles, CA · California$174.34+$10.56
- Madera, CA · California$163.76−$0.02
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $163.76 | $66.75 |
| Modesto, CACalifornia | $163.76 | $66.75 |
| Napa, CACalifornia | $188.58 | $71.92 |
| Oxnard, CACalifornia | $173.44 | $68.81 |
| Redding, CACalifornia | $163.76 | $66.75 |
| Rest of CaliforniaCalifornia | $163.76 | $66.75 |
| Riverside, CACalifornia | $165.08 | $68.07 |
| Sacramento, CACalifornia | $171.54 | $68.60 |
| Salinas, CACalifornia | $170.88 | $68.30 |
| San Diego, CACalifornia | $174.64 | $68.78 |
| Marin County, CACalifornia | $199.35 | $74.55 |
| San Francisco, CACalifornia | $199.21 | $74.41 |
| San Benito County, CACalifornia | $203.66 | $76.03 |
| Santa Clara County, CACalifornia | $203.10 | $75.47 |
| San Luis Obispo, CACalifornia | $168.16 | $67.34 |
| Santa Cruz, CACalifornia | $176.12 | $68.58 |
| Santa Maria, CACalifornia | $171.45 | $68.25 |
| Santa Rosa, CACalifornia | $177.89 | $69.19 |
| Stockton, CACalifornia | $163.76 | $66.75 |
| Vallejo, CACalifornia | $188.39 | $71.73 |
| Visalia, CACalifornia | $163.76 | $66.75 |
| Yuba City, CACalifornia | $163.76 | $66.75 |
| Washington, DC areaDistrict of Columbia | $176.26 | $71.99 |
| Miami, FLFlorida | $165.30 | $73.16 |
| Chicago, ILIllinois | $161.02 | $72.07 |
| Manhattan, NYNew York | $177.01 | $74.16 |
| AlaskaAlaska | $184.21 | $89.94 |
| AlabamaAlabama | $140.46 | $63.02 |
| ArkansasArkansas | $138.63 | $62.59 |
| ArizonaArizona | $151.23 | $65.47 |
| ColoradoColorado | $161.23 | $67.05 |
| ConnecticutConnecticut | $164.67 | $69.34 |
| DelawareDelaware | $153.59 | $66.14 |
| Fort Lauderdale, FLFlorida | $159.55 | $69.88 |
| Rest of FloridaFlorida | $152.50 | $67.88 |
| Atlanta, GAGeorgia | $157.57 | $67.64 |
| Rest of GeorgiaGeorgia | $144.71 | $65.76 |
| Hawaii, Guam, HIHawaii | $167.30 | $66.66 |
| IowaIowa | $143.88 | $62.89 |
| IdahoIdaho | $144.69 | $63.26 |
| East St. Louis, ILIllinois | $150.87 | $69.44 |
| Rest of IllinoisIllinois | $148.34 | $67.53 |
| Suburban Chicago, ILIllinois | $161.18 | $70.27 |
| IndianaIndiana | $145.46 | $63.41 |
| KansasKansas | $143.18 | $63.17 |
| KentuckyKentucky | $143.29 | $64.61 |
| New Orleans, LALouisiana | $149.50 | $66.20 |
| Rest of LouisianaLouisiana | $143.06 | $64.72 |
| Metropolitan Boston, MAMassachusetts | $176.37 | $70.68 |
| Rest of MassachusettsMassachusetts | $160.36 | $67.16 |
| Baltimore area, MDMaryland | $164.17 | $69.20 |
| Rest of MarylandMaryland | $156.37 | $66.79 |
| Rest of MaineMaine | $145.29 | $63.86 |
| Southern Maine, MEMaine | $152.58 | $64.87 |
| Detroit, MIMichigan | $154.15 | $68.74 |
| Rest of MichiganMichigan | $146.61 | $65.79 |
| MinnesotaMinnesota | $155.12 | $64.04 |
| Metropolitan Kansas City, MOMissouri | $148.65 | $65.54 |
| Metropolitan St. Louis, MOMissouri | $150.08 | $65.82 |
| Rest of MissouriMissouri | $140.77 | $64.47 |
| MississippiMississippi | $139.73 | $63.52 |
| MontanaMontana | $154.97 | $66.46 |
| North CarolinaNorth Carolina | $146.69 | $64.10 |
| North DakotaNorth Dakota | $152.60 | $64.09 |
| NebraskaNebraska | $144.62 | $62.92 |
| New HampshireNew Hampshire | $158.67 | $66.53 |
| Northern New JerseyNew Jersey | $174.68 | $72.00 |
| Rest of New JerseyNew Jersey | $166.72 | $70.07 |
| New MexicoNew Mexico | $147.30 | $66.14 |
| NevadaNevada | $154.41 | $65.81 |
| NYC suburbs and Long Island, NYNew York | $180.85 | $75.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $167.73 | $70.80 |
| Queens, NYNew York | $178.47 | $73.85 |
| Rest of New YorkNew York | $148.68 | $64.59 |
| OhioOhio | $146.12 | $65.31 |
| OklahomaOklahoma | $143.15 | $64.11 |
| Portland, OROregon | $166.08 | $67.74 |
| Rest of OregonOregon | $153.38 | $65.22 |
| Metropolitan Philadelphia, PAPennsylvania | $160.82 | $68.68 |
| Rest of PennsylvaniaPennsylvania | $146.38 | $65.12 |
| Puerto RicoPuerto Rico | $156.04 | $66.56 |
| Rhode IslandRhode Island | $158.85 | $67.41 |
| South CarolinaSouth Carolina | $146.61 | $64.83 |
| South DakotaSouth Dakota | $152.32 | $63.81 |
| TennesseeTennessee | $143.82 | $63.37 |
| Austin, TXTexas | $160.55 | $66.90 |
| Beaumont, TXTexas | $145.50 | $64.95 |
| Brazoria, TXTexas | $153.57 | $65.85 |
| Dallas, TXTexas | $154.44 | $66.28 |
| Fort Worth, TXTexas | $153.47 | $66.20 |
| Galveston, TXTexas | $153.97 | $66.07 |
| Houston, TXTexas | $156.16 | $68.27 |
| Rest of TexasTexas | $149.38 | $65.38 |
| UtahUtah | $148.44 | $65.24 |
| VirginiaVirginia | $152.06 | $65.06 |
| Virgin Islands, VIUnited States Virgin Islands | $156.04 | $66.56 |
| VermontVermont | $151.98 | $64.35 |
| Rest of WashingtonWashington | $160.07 | $66.87 |
| King County, WAWashington | $179.89 | $71.28 |
| WisconsinWisconsin | $147.91 | $63.12 |
| West VirginiaWest Virginia | $143.32 | $66.40 |
| WyomingWyoming | $153.94 | $65.43 |
64415 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$138.63
$184.21
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $184.21 | 1 |
| AL | $140.46 | 1 |
| AR | $138.63 | 1 |
| AZ | $151.23 | 1 |
| CA | $163.76–$203.66 | 29 |
| CO | $161.23 | 1 |
| CT | $164.67 | 1 |
| DC | $176.26 | 1 |
| DE | $153.59 | 1 |
| FL | $152.50–$165.30 | 3 |
| GA | $144.71–$157.57 | 2 |
| GU | $167.30 | 1 |
| HI | $167.30 | 1 |
| IA | $143.88 | 1 |
| ID | $144.69 | 1 |
| IL | $148.34–$161.18 | 4 |
| IN | $145.46 | 1 |
| KS | $143.18 | 1 |
| KY | $143.29 | 1 |
| LA | $143.06–$149.50 | 2 |
| MA | $160.36–$176.37 | 2 |
| MD | $156.37–$176.26 | 3 |
| ME | $145.29–$152.58 | 2 |
| MI | $146.61–$154.15 | 2 |
| MN | $155.12 | 1 |
| MO | $140.77–$150.08 | 3 |
| MS | $139.73 | 1 |
| MT | $154.97 | 1 |
| NC | $146.69 | 1 |
| ND | $152.60 | 1 |
| NE | $144.62 | 1 |
| NH | $158.67 | 1 |
| NJ | $166.72–$174.68 | 2 |
| NM | $147.30 | 1 |
| NV | $154.41 | 1 |
| NY | $148.68–$180.85 | 5 |
| OH | $146.12 | 1 |
| OK | $143.15 | 1 |
| OR | $153.38–$166.08 | 2 |
| PA | $146.38–$160.82 | 2 |
| PR | $156.04 | 1 |
| RI | $158.85 | 1 |
| SC | $146.61 | 1 |
| SD | $152.32 | 1 |
| TN | $143.82 | 1 |
| TX | $145.50–$160.55 | 8 |
| UT | $148.44 | 1 |
| VA | $152.06–$176.26 | 2 |
| VI | $156.04 | 1 |
| VT | $151.98 | 1 |
| WA | $160.07–$179.89 | 2 |
| WI | $147.91 | 1 |
| WV | $143.32 | 1 |
| WY | $153.94 | 1 |
How the 64415 rate is calculated
Each of 64415’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64415
RVUs × geographic indexes × conversion factor
Work1.46
1.46 RVUs× 1.000 GPCI
Practice expense3.06
3.06 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
4.6400
Conversion factor
$33.4009
Medicare rate
$154.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,099
- Code
- 64415
- Physician work
- 1.46
- Practice expense
- 3.06
- Malpractice
- 0.12
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.017 | 1.4848 |
| Practice expense | 3.06 | × 1.096 | 3.3538 |
| Malpractice | 0.12 | × 0.541 | 0.0649 |
| Total RVUs | 4.9035 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$163.78
Office: (1.46 × 1.017 + 3.06 × 1.096 + 0.12 × 0.541) × $33.4009 = $163.78
Facility: (1.46 × 1.017 + 0.41 × 1.096 + 0.12 × 0.541) × $33.4009 = $66.77
Payment rules and modifiers for 64415
The CMS indicators that decide how 64415 is paid alongside other services.
CMS payment indicators · 64415
Brachial plexus block, single injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64415 without 50 · national office
$154.98
Brachial plexus block, single injection
64415-50 · Bilateral: 150%
$232.47
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64415 has changed in El Centro, CA
64415 · Office / nonfacility
$163.78
Effective 2026-10-01
The base rate is $28.75 higher than on 2025-10-01, moving from $135.03 to $163.78 (21.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$135.03changed to$163.78
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.50 changed to 1.46
- Practice expense RVU 2.36 changed to 3.06
- Malpractice RVU 0.13 changed to 0.12
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$140.05changed to$135.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.39 changed to 2.36
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$137.77changed to$140.05
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$142.44changed to$137.77
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.41 changed to 2.39
- Malpractice RVU 0.12 changed to 0.13
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$120.00changed to$142.44
- Conversion factor 34.6062 changed to 33.8872
- Work RVU 1.35 changed to 1.50
- Practice expense RVU 1.89 changed to 2.41
- Malpractice RVU 0.11 changed to 0.12
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$120.98changed to$120.00
- Conversion factor 34.8931 changed to 34.6062
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$120.26changed to$120.98
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.76 changed to 1.89
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$125.77changed to$120.26
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 1.48 changed to 1.35
- Practice expense RVU 1.78 changed to 1.76
- Malpractice RVU 0.12 changed to 0.11
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$125.23changed to$125.77
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.77 changed to 1.78
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$123.62changed to$125.23
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.72 changed to 1.77
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$123.62
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $163.78 | $66.77 | RVU26D |
| 2026-07-01 | $163.78 | $66.77 | RVU26C |
| 2026-04-01 | $163.78 | $66.77 | RVU26B |
| 2026-01-01 | $163.78 | $66.77 | RVU26A |
| 2025-10-01 | $135.03 | $67.51 | RVU25D |
| 2025-07-01 | $135.03 | $67.51 | RVU25C |
| 2025-04-01 | $135.03 | $67.51 | RVU25B |
| 2025-01-01 | $135.03 | $67.51 | RVU25A |
| 2024-10-01 | $140.05 | $68.74 | RVU24D |
| 2024-07-01 | $140.05 | $68.74 | RVU24C |
| 2024-04-01 | $140.05 | $68.74 | RVU24B |
| 2024-03-09 | $140.05 | $68.74 | RVU24AR |
| 2024-01-01 | $137.77 | $67.62 | RVU24A |
| 2023-10-01 | $142.44 | $70.04 | RVU23D |
| 2023-07-01 | $142.44 | $70.04 | RVU23C |
| 2023-04-01 | $142.44 | $70.04 | RVU23B |
| 2023-01-01 | $142.44 | $70.04 | RVU23A |
| 2022-10-01 | $120.00 | $64.35 | RVU22D |
| 2022-07-01 | $120.00 | $64.35 | RVU22C |
| 2022-04-01 | $120.00 | $64.35 | RVU22B |
| 2022-01-01 | $120.00 | $64.35 | RVU22A |
| 2021-10-01 | $120.98 | $64.86 | RVU21D |
| 2021-07-01 | $120.98 | $64.86 | RVU21C |
| 2021-04-01 | $120.98 | $64.86 | RVU21B |
| 2021-01-01 | $120.98 | $64.86 | RVU21A |
| 2020-10-01 | $120.26 | $66.58 | RVU20D |
| 2020-07-01 | $120.26 | $66.58 | RVU20C |
| 2020-04-01 | $120.26 | $66.58 | RVU20B |
| 2020-01-01 | $120.26 | $66.58 | RVU20A |
| 2019-10-01 | $125.77 | $67.32 | RVU19D |
| 2019-07-01 | $125.77 | $67.32 | RVU19C |
| 2019-04-01 | $125.77 | $67.32 | RVU19B |
| 2019-01-01 | $125.77 | $67.32 | RVU19A |
| 2018-10-01 | $125.23 | $67.23 | RVU18D |
| 2018-07-01 | $125.23 | $67.23 | RVU18C |
| 2018-04-01 | $125.23 | $67.23 | RVU18B |
| 2018-01-01 | $125.23 | $67.23 | RVU18AR1 |
| 2017-10-01 | $123.62 | $67.09 | RVU17D |
| 2017-07-01 | $123.62 | $67.09 | RVU17C |
| 2017-04-01 | $123.62 | $67.09 | RVU17B |
| 2017-01-01 | $123.62 | $67.09 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
64415 billing questions
When should 64415 be reported instead of 64416?
Use 64415 for a single-injection brachial plexus block. Use 64416 when a catheter is placed for continuous infusion.
Is imaging guidance separately reported with this block?
Imaging guidance, when performed, is included in 64415. Document the guidance and block approach in the procedure record.
What documentation supports 64415?
Record the clinical indication, laterality, brachial plexus approach, medication injected, and whether imaging guidance was used.
How is a bilateral block reported?
Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
How does the multiple-procedure reduction affect 64415?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported for this procedure?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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