CPT code 64420: Intercostal block, single nerve2026 Medicare rate & RVUs in King County, WA

Reports injection of anesthetic, with or without steroid, near one intercostal nerve to relieve localized chest-wall pain or neuralgia.

CMS RVU26DEffective Oct 1, 2026One payment locality22.3K Medicare services in 2024

In King County, WA, Medicare pays $122.48 for 64420 in the office and $56.90 when it’s performed in a hospital or facility.

$122.48Office (non-facility)

$56.90Hospital or facility

+15.7%vs the national office rate ($105.88)

Check a contract rate as a % of Medicare · 64420 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

Rate in King County, WA
What 64420 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 64420 covers

An intercostal nerve block places local anesthetic, with or without steroid, near one nerve running beneath a rib to interrupt chest-wall pain. Anesthesiologists, pain physicians, and surgeons may perform it for localized pain after rib injury or thoracic surgery, or for intercostal neuralgia, in an office, procedure suite, or hospital.

Report 64420 for one targeted intercostal nerve; when additional intercostal nerves are blocked in the same session, report 64421 for each additional nerve. The record should identify the side and nerve or level treated, clinical indication, medication, technique, and response. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others receive the standard multiple-procedure reduction. Assistant-at-surgery payment is statutorily restricted; 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 King County, WA compares for 64420

Across 109 of 109 payment localities, the office rate for 64420 runs from $94.86 in Arkansas to $138.31 in San Benito County, CA. King County, WA pays $122.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

64420 in King County, WA vs other payment areas

King County, WA · this page$122.48
Rest of Washington · Washington$109.21−$13.27
Los Angeles, CA · California$118.72−$3.76
Washington, DC area · District of Columbia$120.18−$2.30
Miami, FL · Florida$113.26−$9.22
Chicago, IL · Illinois$110.36−$12.12
Manhattan, NY · New York$120.87−$1.61

Other areas in Washington first, then benchmark localities. Bars start at $0.

Every other payment area

64420 in every other Medicare payment locality
Payment locality	Office	Facility
AlaskaAlaska	$126.47	$69.56
AlabamaAlabama	$96.10	$49.34
ArkansasArkansas	$94.86	$48.96
ArizonaArizona	$103.35	$51.56
Bakersfield, CACalifornia	$111.88	$53.31
Chico, CACalifornia	$111.59	$53.02
El Centro, CACalifornia	$111.61	$53.03
Fresno, CACalifornia	$111.59	$53.02
Hanford, CACalifornia	$111.59	$53.02
Madera, CACalifornia	$111.59	$53.02
Merced, CACalifornia	$111.59	$53.02
Modesto, CACalifornia	$111.59	$53.02
Napa, CACalifornia	$128.17	$57.74
Oxnard, CACalifornia	$118.07	$54.90
Redding, CACalifornia	$111.59	$53.02
Rest of CaliforniaCalifornia	$111.59	$53.02
Riverside, CACalifornia	$112.58	$54.01
Sacramento, CACalifornia	$116.80	$54.65
Salinas, CACalifornia	$116.35	$54.42
San Diego, CACalifornia	$118.85	$54.93
Marin County, CACalifornia	$135.39	$60.03
San Francisco, CACalifornia	$135.28	$59.93
San Benito County, CACalifornia	$138.31	$61.25
Santa Clara County, CACalifornia	$137.90	$60.83
San Luis Obispo, CACalifornia	$114.51	$53.64
Santa Cruz, CACalifornia	$119.80	$54.87
Santa Maria, CACalifornia	$116.72	$54.41
Santa Rosa, CACalifornia	$121.00	$55.37
Stockton, CACalifornia	$111.59	$53.02
Vallejo, CACalifornia	$128.03	$57.59
Visalia, CACalifornia	$111.59	$53.02
Yuba City, CACalifornia	$111.59	$53.02
ColoradoColorado	$109.98	$53.12
ConnecticutConnecticut	$112.43	$54.88
DelawareDelaware	$104.94	$52.14
Fort Lauderdale, FLFlorida	$109.19	$55.06
Rest of FloridaFlorida	$104.41	$53.32
Atlanta, GAGeorgia	$107.68	$53.38
Rest of GeorgiaGeorgia	$99.14	$51.47
Hawaii, Guam, HIHawaii	$113.90	$53.14
IowaIowa	$98.30	$49.41
IdahoIdaho	$98.87	$49.71
East St. Louis, ILIllinois	$103.50	$54.34
Rest of IllinoisIllinois	$101.67	$52.88
Suburban Chicago, ILIllinois	$110.28	$55.39
IndianaIndiana	$99.39	$49.85
KansasKansas	$97.88	$49.57
KentuckyKentucky	$98.10	$50.59
New Orleans, LALouisiana	$102.29	$52.00
Rest of LouisianaLouisiana	$97.96	$50.66
Metropolitan Boston, MAMassachusetts	$120.14	$56.33
Rest of MassachusettsMassachusetts	$109.43	$53.15
Baltimore area, MDMaryland	$112.10	$54.76
Rest of MarylandMaryland	$106.80	$52.72
Rest of MaineMaine	$99.32	$50.15
Southern Maine, MEMaine	$104.16	$51.20
Detroit, MIMichigan	$105.57	$54.00
Rest of MichiganMichigan	$100.37	$51.58
MinnesotaMinnesota	$105.73	$50.74
Metropolitan Kansas City, MOMissouri	$101.68	$51.49
Metropolitan St. Louis, MOMissouri	$102.63	$51.76
Rest of MissouriMissouri	$96.45	$50.38
MississippiMississippi	$95.67	$49.66
MontanaMontana	$105.87	$52.43
North CarolinaNorth Carolina	$100.25	$50.39
North DakotaNorth Dakota	$104.10	$50.65
NebraskaNebraska	$98.79	$49.46
New HampshireNew Hampshire	$108.29	$52.65
Northern New JerseyNew Jersey	$119.14	$57.15
Rest of New JerseyNew Jersey	$113.81	$55.46
New MexicoNew Mexico	$100.86	$51.85
NevadaNevada	$105.45	$51.95
NYC suburbs and Long Island, NYNew York	$123.52	$59.97
Poughkeepsie and northern NYC suburbs, NYNew York	$114.53	$56.01
Queens, NYNew York	$121.79	$58.63
Rest of New YorkNew York	$101.60	$50.83
OhioOhio	$100.01	$51.21
OklahomaOklahoma	$97.96	$50.23
Portland, OROregon	$113.20	$53.83
Rest of OregonOregon	$104.72	$51.49
Metropolitan Philadelphia, PAPennsylvania	$109.87	$54.24
Rest of PennsylvaniaPennsylvania	$100.16	$51.10
Puerto RicoPuerto Rico	$106.58	$52.55
Rhode IslandRhode Island	$108.46	$53.26
South CarolinaSouth Carolina	$100.28	$50.90
South DakotaSouth Dakota	$103.88	$50.44
TennesseeTennessee	$98.32	$49.74
Austin, TXTexas	$109.54	$53.00
Beaumont, TXTexas	$99.57	$50.93
Brazoria, TXTexas	$104.89	$51.93
Dallas, TXTexas	$105.50	$52.27
Fort Worth, TXTexas	$104.86	$52.17
Galveston, TXTexas	$105.17	$52.10
Houston, TXTexas	$106.82	$53.75
Rest of TexasTexas	$102.13	$51.42
UtahUtah	$101.51	$51.27
VirginiaVirginia	$103.84	$51.31
Virgin Islands, VIUnited States Virgin Islands	$106.58	$52.55
VermontVermont	$103.72	$50.81
WisconsinWisconsin	$100.95	$49.76
West VirginiaWest Virginia	$98.29	$51.85
WyomingWyoming	$105.10	$51.66

64420 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$94.86

$126.47

Color shows the midpoint of each state’s locality range.

View every state and territory as a table

64420 office rate range by state
State / territory	Office rate range	Localities
AK	$126.47	1
AL	$96.10	1
AR	$94.86	1
AZ	$103.35	1
CA	$111.59–$138.31	29
CO	$109.98	1
CT	$112.43	1
DC	$120.18	1
DE	$104.94	1
FL	$104.41–$113.26	3
GA	$99.14–$107.68	2
GU	$113.90	1
HI	$113.90	1
IA	$98.30	1
ID	$98.87	1
IL	$101.67–$110.36	4
IN	$99.39	1
KS	$97.88	1
KY	$98.10	1
LA	$97.96–$102.29	2
MA	$109.43–$120.14	2
MD	$106.80–$120.18	3
ME	$99.32–$104.16	2
MI	$100.37–$105.57	2
MN	$105.73	1
MO	$96.45–$102.63	3
MS	$95.67	1
MT	$105.87	1
NC	$100.25	1
ND	$104.10	1
NE	$98.79	1
NH	$108.29	1
NJ	$113.81–$119.14	2
NM	$100.86	1
NV	$105.45	1
NY	$101.60–$123.52	5
OH	$100.01	1
OK	$97.96	1
OR	$104.72–$113.20	2
PA	$100.16–$109.87	2
PR	$106.58	1
RI	$108.46	1
SC	$100.28	1
SD	$103.88	1
TN	$98.32	1
TX	$99.57–$109.54	8
UT	$101.51	1
VA	$103.84–$120.18	2
VI	$106.58	1
VT	$103.72	1
WA	$109.21–$122.48	2
WI	$100.95	1
WV	$98.29	1
WY	$105.10	1

See 64420 in every payment locality

How the 64420 rate is calculated

Each of 64420’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 · 64420

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work1.05

1.05 RVUs× 1.000 GPCI

Practice expense2.03

2.03 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

3.1700

Conversion factor

$33.4009

Medicare rate

$105.88

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,103

Code: 64420
Physician work: 1.05
Practice expense: 2.03
Malpractice: 0.09

GPCI2026.csv

108

Locality: King County, WA
Physician work: 1.050
Practice expense: 1.227
Malpractice: 0.817

Office calculation for 64420 in King County, WA
Component	RVU	Locality factor	Adjusted
Physician work	1.05	× 1.050	1.1025
Practice expense	2.03	× 1.227	2.4908
Malpractice	0.09	× 0.817	0.0735
Total RVUs			3.6668
Conversion factor			× 33.4009

Office rate, King County, WA$122.48

Office: (1.05 × 1.05 + 2.03 × 1.227 + 0.09 × 0.817) × $33.4009 = $122.48

Facility: (1.05 × 1.05 + 0.43 × 1.227 + 0.09 × 0.817) × $33.4009 = $56.90

Open 64420 in the RVU calculator

Payment rules and modifiers for 64420

The CMS indicators that decide how 64420 is paid alongside other services.

CMS payment indicators · 64420

Intercostal block, single nerve

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

64420 without 50 · national office

$105.88

Intercostal block, single nerve

64420-50 · Bilateral: 150%

$158.82

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).

When to use modifier 50

Codes related to 64420

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

Codes related to 64420
Code	How it relates	Office range, King County, WA
Add-on codes
64421	Intercostal nerve block, each additional nerveAdd-on for each additional intercostal nerve blocked after the first.	$39.45
Used instead
64461	Paravertebral block, thoracic, single siteThoracic paravertebral block at a single injection site, rather than a targeted intercostal nerve block.	$171.30
64466	Thoracic block, unilateral injectionThoracic fascial plane block uses a different target and injection approach.	$163.63

How 64420 has changed in King County, WA

64420 · Office / nonfacility

$122.48

Effective 2026-10-01

Compare with release effective

The base rate is $13.67 higher than on 2025-10-01, moving from $108.81 to $122.48 (12.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
$108.81changed to$122.48
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.08 changed to 1.05
- Practice expense RVU 1.75 changed to 2.03
- Malpractice RVU 0.12 changed to 0.09
- Work GPCI 1.043 changed to 1.050
- Practice expense GPCI 1.220 changed to 1.227
- Malpractice GPCI 0.853 changed to 0.817
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$111.81changed to$108.81
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.76 changed to 1.75
- Malpractice RVU 0.10 changed to 0.12
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$109.99changed to$111.81
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$111.55changed to$109.99
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.73 changed to 1.76
- Work GPCI 1.039 changed to 1.043
- Practice expense GPCI 1.207 changed to 1.220
- Malpractice GPCI 0.815 changed to 0.853
January 1, 2023
RVU23A
$112.33changed to$111.55
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.71 changed to 1.73
- Malpractice RVU 0.11 changed to 0.10
- Work GPCI 1.036 changed to 1.039
- Practice expense GPCI 1.194 changed to 1.207
- Malpractice GPCI 0.776 changed to 0.815
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$114.93changed to$112.33
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.75 changed to 1.71
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$113.67changed to$114.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.66 changed to 1.75
- Work GPCI 1.031 changed to 1.036
- Practice expense GPCI 1.170 changed to 1.194
- Malpractice GPCI 0.854 changed to 0.776
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$124.18changed to$113.67
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 1.18 changed to 1.08
- Practice expense RVU 1.86 changed to 1.66
- Work GPCI 1.027 changed to 1.031
- Practice expense GPCI 1.146 changed to 1.170
- Malpractice GPCI 0.931 changed to 0.854
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$125.29changed to$124.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.89 changed to 1.86
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$123.10changed to$125.29
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.86 changed to 1.89
- Work GPCI 1.026 changed to 1.027
- Practice expense GPCI 1.151 changed to 1.146
- Malpractice GPCI 0.713 changed to 0.931
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$124.24changed to$123.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.91 changed to 1.86
- Work GPCI 1.025 changed to 1.026
- Practice expense GPCI 1.155 changed to 1.151
- Malpractice GPCI 0.495 changed to 0.713
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$124.69changed to$124.24
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$124.07changed to$124.69
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$124.72changed to$124.07
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 1.150 changed to 1.155
- Malpractice GPCI 0.688 changed to 0.495
Held through RVU15B.
January 1, 2014
RVU14A
$128.43changed to$124.72
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.15 changed to 1.91
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 1.144 changed to 1.150
- Malpractice GPCI 0.881 changed to 0.688
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $128.43
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$122.48	$56.90	RVU26D
2026-07-01	$122.48	$56.90	RVU26C
2026-04-01	$122.48	$56.90	RVU26B
2026-01-01	$122.48	$56.90	RVU26A
2025-10-01	$108.81	$61.85	RVU25D
2025-07-01	$108.81	$61.85	RVU25C
2025-04-01	$108.81	$61.85	RVU25B
2025-01-01	$108.81	$61.85	RVU25A
2024-10-01	$111.81	$62.67	RVU24D
2024-07-01	$111.81	$62.67	RVU24C
2024-04-01	$111.81	$62.67	RVU24B
2024-03-09	$111.81	$62.67	RVU24AR
2024-01-01	$109.99	$61.65	RVU24A
2023-10-01	$111.55	$63.28	RVU23D
2023-07-01	$111.55	$63.28	RVU23C
2023-04-01	$111.55	$63.28	RVU23B
2023-01-01	$111.55	$63.28	RVU23A
2022-10-01	$112.33	$63.99	RVU22D
2022-07-01	$112.33	$63.99	RVU22C
2022-04-01	$112.33	$63.99	RVU22B
2022-01-01	$112.33	$63.99	RVU22A
2021-10-01	$114.93	$64.52	RVU21D
2021-07-01	$114.93	$64.52	RVU21C
2021-04-01	$114.93	$64.52	RVU21B
2021-01-01	$114.93	$64.52	RVU21A
2020-10-01	$113.67	$65.95	RVU20D
2020-07-01	$113.67	$65.95	RVU20C
2020-04-01	$113.67	$65.95	RVU20B
2020-01-01	$113.67	$65.95	RVU20A
2019-10-01	$124.18	$73.38	RVU19D
2019-07-01	$124.18	$73.38	RVU19C
2019-04-01	$124.18	$73.38	RVU19B
2019-01-01	$124.18	$73.38	RVU19A
2018-10-01	$125.29	$73.72	RVU18D
2018-07-01	$125.29	$73.72	RVU18C
2018-04-01	$125.29	$73.72	RVU18B
2018-01-01	$125.29	$73.72	RVU18AR1
2017-10-01	$123.10	$73.11	RVU17D
2017-07-01	$123.10	$73.11	RVU17C
2017-04-01	$123.10	$73.11	RVU17B
2017-01-01	$123.10	$73.11	RVU17A
2016-10-01	$124.24	$72.96	RVU16D
2016-07-01	$124.24	$72.96	RVU16C
2016-04-01	$124.24	$72.96	RVU16B
2016-01-01	$124.24	$72.96	RVU16A
2015-10-01	$124.69	$72.81	RVU15D
2015-07-01	$124.69	$72.81	RVU15C
2015-04-01	$124.07	$72.45	RVU15B
2015-01-01	$124.07	$72.45	RVU15A
2014-10-01	$124.72	$74.05	RVU14D
2014-07-01	$124.72	$74.05	RVU14C
2014-04-01	$124.72	$74.05	RVU14B
2014-01-01	$124.72	$74.05	RVU14A
2013-10-01	$128.43	$74.33	RVU13D
2013-07-01	$128.43	$74.33	RVU13C
2013-04-01	$128.43	$74.33	RVU13B
2013-01-01	$128.43	$74.33	RVU13AR

Price 64420 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

Seattle
Algona
Ames Lake
64420 in Auburn · multiple payment areas
Baring
Beaux Arts Village
Bellevue
Black Diamond

Browse all communities in Washington

64420 billing questions

When should I use 64420 instead of 64421?

Use 64420 for the first, single intercostal nerve treated. Report 64421 for each additional intercostal nerve blocked in the same session.

How is bilateral treatment reported?

For bilateral treatment, report modifier 50. CMS pays the bilateral procedure at 150%.

What documentation supports 64420?

Document the indication, side and intercostal nerve or level treated, medication and technique, and the patient's response.

Is same-day postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How does the multiple-procedure reduction affect 64420?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others receive the standard 50% reduction.

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

RVUs for 64420PPRRVU2026_Oct_nonQPP.csv, line 7,103 (RVU26D)

7,10064416,,[CPT descriptor omitted],A,,1.76,0.26,NA,0.26,,0.15,2.17,2.17,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10164417,,[CPT descriptor omitted],A,,1.28,4.16,,0.43,,0.13,5.57,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10264418,,[CPT descriptor omitted],A,,1.07,1.51,,0.26,,0.11,2.69,1.44,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10364420,,[CPT descriptor omitted],A,,1.05,2.03,,0.43,,0.09,3.17,1.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10464421,,[CPT descriptor omitted],A,,0.49,0.51,,0.11,,0.05,1.05,0.65,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10564425,,[CPT descriptor omitted],A,,0.98,2.55,,0.42,,0.09,3.62,1.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,10664430,,[CPT descriptor omitted],A,,0.98,1.78,,0.37,,0.11,2.87,1.46,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

10514512,VT,50,VERMONT,1.000,0.990,0.506

10611302,VA,00,VIRGINIA,1.000,0.983,0.706

10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985

10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817

10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761

11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431

11106302,WI,00,WISCONSIN,1.000,0.958,0.308

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What 64420 covers

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