CPT code 64418: Nerve injection, suprascapular nerve2026 Medicare rate & RVUs in Vallejo, CA

In Vallejo, CA, Medicare pays $106.15 for 64418 in the office and $51.12 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64418 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 64418 covers

The clinician places an injection at the suprascapular nerve, which supplies sensation to parts of the shoulder. Pain medicine physicians, anesthesiologists, physiatrists, and other clinicians may use the block diagnostically or therapeutically for shoulder pain, including pain associated with rotator cuff disease or glenohumeral arthritis. The injected medication may be anesthetic, steroid, or both; the service is defined by the nerve targeted, not simply by an injection into the shoulder joint.

Report 64418 when documentation identifies the suprascapular nerve as the injection target and supports the clinical indication, side, approach, and medication administered. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; 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 Vallejo, CA compares for 64418

Across 109 of 109 payment localities, the office rate for 64418 runs from $80.96 in Arkansas to $114.37 in San Benito County, CA. Vallejo, CA pays $106.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64418 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 64418 in every payment locality

How the 64418 rate is calculated

Each of 64418’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.

Payment rules and modifiers for 64418

The CMS indicators that decide how 64418 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64418

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 64418 has changed in Vallejo, CA

Price 64418 for an earlier date of service

Where the Vallejo, CA rate applies

Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Vallejo
• Allendale
• Benicia
• Dixon
• Elmira
• Fairfield
• Green Valley
• Hartley

Browse all communities in California

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

Open CMS sourceHow we calculate rates