CPT code 64445: Sciatic nerve block, single injection2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $170.02 for 64445 in the office and $62.81 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64445 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 64445 covers

This service is a single-injection block targeting the sciatic nerve, using an anesthetic agent and/or steroid. Anesthesiologists and pain physicians commonly perform it for perioperative anesthesia or postoperative pain relief, including for procedures involving the lower extremity. It may be performed in a facility or office setting. Image guidance, when used, is included in the service.

Select this code for a single injection at the sciatic nerve; use the continuous-infusion catheter code when that is the service performed. Document the indication, nerve targeted, laterality, medication, technique, and whether a catheter was placed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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 South Dakota compares for 64445

Across 109 of 109 payment localities, the office rate for 64445 runs from $153.59 in Arkansas to $230.35 in San Benito County, CA. South Dakota pays $170.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64445 rates by state

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

See 64445 in every payment locality

How the 64445 rate is calculated

Each of 64445’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 64445

The CMS indicators that decide how 64445 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64445

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

How 64445 has changed in South Dakota

Price 64445 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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