CPT code 64484: Epidural injection, each additional lumbar or sacral level2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $115.80 for 64484 in the office and $41.98 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64484 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 64484 covers

This add-on reports an injection into the epidural space through a lumbar or sacral neural foramen at an additional spinal level. The clinician typically uses imaging guidance to position the needle near the affected nerve root and deliver medication for radicular pain, such as pain associated with disc disease or spinal stenosis. Pain specialists, anesthesiologists, and other clinicians who perform image-guided spine procedures commonly provide this service in an office or facility setting.

Report 64484 for each additional lumbar or sacral level treated after the first level, with 64483 for the initial level. The procedure note should identify the levels treated and support the additional injection. Imaging guidance is included in the injection service and is not separately reported for the same procedure. CMS treats this as an add-on code: it must be billed with its primary procedure and is paid within that procedure’s global period. When performed bilaterally and reported with modifier 50, CMS pays the bilateral procedure at 150%.

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 64484

Across 109 of 109 payment localities, the office rate for 64484 runs from $104.69 in Arkansas to $156.25 in San Benito County, CA. South Dakota pays $115.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64484 rates by state

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

See 64484 in every payment locality

How the 64484 rate is calculated

Each of 64484’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 64484

The CMS indicators that decide how 64484 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64484

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

How 64484 has changed in South Dakota

Price 64484 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