CPT code 64449: Lumbar plexus block, anesthetic or steroid injection2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $57.35 for 64449 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64449 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 64449 covers

This service places anesthetic and/or steroid near the lumbar plexus to interrupt nerve signals from the lower extremity. Anesthesiologists and pain physicians commonly perform it in an operating room, procedure suite, or other setting where regional blocks are provided. A lumbar plexus block may support anesthesia or postoperative pain control for hip or femur procedures, or be used in selected pain-treatment plans.

Report the code when the documented target is the lumbar plexus, rather than an individual femoral or sciatic nerve. The record should identify the indication, laterality, target, and medication injected. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When performed in the same session with other procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral service, modifier 50 is 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 South Dakota compares for 64449

Across 109 of 109 payment localities, the facility rate for 64449 runs from $56.16 in Arkansas to $80.00 in Alaska. South Dakota pays $57.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64449 rates by state

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

See 64449 in every payment locality

How the 64449 rate is calculated

Each of 64449’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 64449

The CMS indicators that decide how 64449 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64449

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

How 64449 has changed in South Dakota

Price 64449 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