CPT code 64494: Facet joint injection, lumbar/sacral, second level2026 Medicare rate & RVUs in Minnesota

Report this add-on for the second lumbar or sacral facet level treated with image-guided injection after the first level is coded.

CMS RVU26DEffective Oct 1, 2026One payment locality383.1K Medicare services in 2024

In Minnesota, Medicare pays $95.73 for 64494 in the office and $42.12 when it’s performed in a hospital or facility.

$95.73Office (non-facility)

$42.12Hospital or facility

−0.1%vs the national office rate ($95.86)

Check a contract rate as a % of Medicare · 64494 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 Minnesota
What 64494 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 64494 covers

Clinicians use this code for an image-guided injection at the second lumbar or sacral facet-joint level, or its innervating medial branch, commonly to evaluate or treat axial low-back pain attributed to facet joints. Interventional pain physicians, anesthesiologists, physiatrists, and other qualified clinicians perform the procedure in office-based or hospital outpatient settings, using fluoroscopic or CT guidance.

Report 64494 only with 64493 for the first lumbar/sacral level. It represents the second level, not another needle or joint treated at the first level. Documentation should identify the treated level and side, target, imaging guidance, injectate, and clinical rationale. This add-on is paid within the primary procedure's global period. For bilateral service, CMS pays 150% when modifier 50 is reported. The imaging guidance is included in the facet-injection service and is not separately reported.

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 Minnesota compares for 64494

Across 109 of 109 payment localities, the office rate for 64494 runs from $86.04 in Arkansas to $124.94 in San Benito County, CA. Minnesota pays $95.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

64494 in Minnesota vs other payment areas

Minnesota · this page$95.73
Los Angeles, CA · California$107.37+$11.64
Washington, DC area · District of Columbia$108.69+$12.96
Miami, FL · Florida$102.42+$6.69
Chicago, IL · Illinois$99.85+$4.12
Manhattan, NY · New York$109.32+$13.59
Alaska · Alaska$114.96+$19.23

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

Every other payment area

64494 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$87.14	$41.55
ArkansasArkansas	$86.04	$41.28
ArizonaArizona	$93.60	$43.11
Bakersfield, CACalifornia	$101.24	$44.13
Chico, CACalifornia	$100.98	$43.87
El Centro, CACalifornia	$100.99	$43.89
Fresno, CACalifornia	$100.98	$43.87
Hanford, CACalifornia	$100.98	$43.87
Madera, CACalifornia	$100.98	$43.87
Merced, CACalifornia	$100.98	$43.87
Modesto, CACalifornia	$100.98	$43.87
Napa, CACalifornia	$115.83	$47.16
Oxnard, CACalifornia	$106.77	$45.18
Redding, CACalifornia	$100.98	$43.87
Rest of CaliforniaCalifornia	$100.98	$43.87
Riverside, CACalifornia	$101.86	$44.75
Sacramento, CACalifornia	$105.65	$45.05
Salinas, CACalifornia	$105.25	$44.86
San Diego, CACalifornia	$107.47	$45.15
Marin County, CACalifornia	$122.31	$48.84
San Francisco, CACalifornia	$122.22	$48.75
San Benito County, CACalifornia	$124.94	$49.81
Santa Clara County, CACalifornia	$124.57	$49.44
San Luis Obispo, CACalifornia	$103.58	$44.23
Santa Cruz, CACalifornia	$108.31	$45.00
Santa Maria, CACalifornia	$105.57	$44.82
Santa Rosa, CACalifornia	$109.39	$45.40
Stockton, CACalifornia	$100.98	$43.87
Vallejo, CACalifornia	$115.70	$47.03
Visalia, CACalifornia	$100.98	$43.87
Yuba City, CACalifornia	$100.98	$43.87
ColoradoColorado	$99.54	$44.10
ConnecticutConnecticut	$101.73	$45.61
DelawareDelaware	$95.03	$43.55
Fort Lauderdale, FLFlorida	$98.81	$46.02
Rest of FloridaFlorida	$94.54	$44.73
Atlanta, GAGeorgia	$97.46	$44.52
Rest of GeorgiaGeorgia	$89.84	$43.37
Hawaii, Guam, HIHawaii	$103.02	$43.77
IowaIowa	$89.11	$41.43
IdahoIdaho	$89.62	$41.68
East St. Louis, ILIllinois	$93.73	$45.80
Rest of IllinoisIllinois	$92.11	$44.53
Suburban Chicago, ILIllinois	$99.78	$46.27
IndianaIndiana	$90.07	$41.77
KansasKansas	$88.73	$41.63
KentuckyKentucky	$88.92	$42.60
New Orleans, LALouisiana	$92.66	$43.63
Rest of LouisianaLouisiana	$88.80	$42.68
Metropolitan Boston, MAMassachusetts	$108.64	$46.42
Rest of MassachusettsMassachusetts	$99.05	$44.18
Baltimore area, MDMaryland	$101.43	$45.52
Rest of MarylandMaryland	$96.69	$43.96
Rest of MaineMaine	$90.01	$42.08
Southern Maine, MEMaine	$94.33	$42.69
Detroit, MIMichigan	$95.58	$45.30
Rest of MichiganMichigan	$90.95	$43.37
Metropolitan Kansas City, MOMissouri	$92.11	$43.18
Metropolitan St. Louis, MOMissouri	$92.96	$43.36
Rest of MissouriMissouri	$87.45	$42.53
MississippiMississippi	$86.76	$41.90
MontanaMontana	$95.86	$43.75
North CarolinaNorth Carolina	$90.85	$42.23
North DakotaNorth Dakota	$94.27	$42.17
NebraskaNebraska	$89.54	$41.45
New HampshireNew Hampshire	$98.01	$43.76
Northern New JerseyNew Jersey	$107.78	$47.34
Rest of New JerseyNew Jersey	$102.99	$46.09
New MexicoNew Mexico	$91.38	$43.60
NevadaNevada	$95.47	$43.32
NYC suburbs and Long Island, NYNew York	$111.67	$49.72
Poughkeepsie and northern NYC suburbs, NYNew York	$103.64	$46.58
Queens, NYNew York	$110.14	$48.55
Rest of New YorkNew York	$92.04	$42.54
OhioOhio	$90.62	$43.05
OklahomaOklahoma	$88.80	$42.27
Portland, OROregon	$102.41	$44.52
Rest of OregonOregon	$94.83	$42.93
Metropolitan Philadelphia, PAPennsylvania	$99.44	$45.20
Rest of PennsylvaniaPennsylvania	$90.76	$42.92
Puerto RicoPuerto Rico	$96.49	$43.81
Rhode IslandRhode Island	$98.19	$44.36
South CarolinaSouth Carolina	$90.87	$42.72
South DakotaSouth Dakota	$94.09	$41.98
TennesseeTennessee	$89.12	$41.76
Austin, TXTexas	$99.13	$44.00
Beaumont, TXTexas	$90.23	$42.81
Brazoria, TXTexas	$94.99	$43.35
Dallas, TXTexas	$95.53	$43.64
Fort Worth, TXTexas	$94.96	$43.59
Galveston, TXTexas	$95.24	$43.50
Houston, TXTexas	$96.70	$44.96
Rest of TexasTexas	$92.52	$43.07
UtahUtah	$91.96	$42.98
VirginiaVirginia	$94.05	$42.83
Virgin Islands, VIUnited States Virgin Islands	$96.49	$43.81
VermontVermont	$93.94	$42.35
Rest of WashingtonWashington	$98.85	$43.98
King County, WAWashington	$110.73	$46.80
WisconsinWisconsin	$91.47	$41.56
West VirginiaWest Virginia	$89.09	$43.81
WyomingWyoming	$95.17	$43.06

64494 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

Explore a state

Local rates. Clear comparisons.

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

$86.04

$114.96

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

View every state and territory as a table

64494 office rate range by state
State / territory	Office rate range	Localities
AK	$114.96	1
AL	$87.14	1
AR	$86.04	1
AZ	$93.60	1
CA	$100.98–$124.94	29
CO	$99.54	1
CT	$101.73	1
DC	$108.69	1
DE	$95.03	1
FL	$94.54–$102.42	3
GA	$89.84–$97.46	2
GU	$103.02	1
HI	$103.02	1
IA	$89.11	1
ID	$89.62	1
IL	$92.11–$99.85	4
IN	$90.07	1
KS	$88.73	1
KY	$88.92	1
LA	$88.80–$92.66	2
MA	$99.05–$108.64	2
MD	$96.69–$108.69	3
ME	$90.01–$94.33	2
MI	$90.95–$95.58	2
MN	$95.73	1
MO	$87.45–$92.96	3
MS	$86.76	1
MT	$95.86	1
NC	$90.85	1
ND	$94.27	1
NE	$89.54	1
NH	$98.01	1
NJ	$102.99–$107.78	2
NM	$91.38	1
NV	$95.47	1
NY	$92.04–$111.67	5
OH	$90.62	1
OK	$88.80	1
OR	$94.83–$102.41	2
PA	$90.76–$99.44	2
PR	$96.49	1
RI	$98.19	1
SC	$90.87	1
SD	$94.09	1
TN	$89.12	1
TX	$90.23–$99.13	8
UT	$91.96	1
VA	$94.05–$108.69	2
VI	$96.49	1
VT	$93.94	1
WA	$98.85–$110.73	2
WI	$91.47	1
WV	$89.09	1
WY	$95.17	1

See 64494 in every payment locality

How the 64494 rate is calculated

Each of 64494’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 · 64494

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work0.98

0.98 RVUs× 1.000 GPCI

Practice expense1.81

1.81 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

2.8700

Conversion factor

$33.4009

Medicare rate

$95.86

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,138

Code: 64494
Physician work: 0.98
Practice expense: 1.81
Malpractice: 0.08

GPCI2026.csv

Locality: Minnesota
Physician work: 1.000
Practice expense: 1.029
Malpractice: 0.296

Office calculation for 64494 in Minnesota
Component	RVU	Locality factor	Adjusted
Physician work	0.98	× 1.000	0.9800
Practice expense	1.81	× 1.029	1.8625
Malpractice	0.08	× 0.296	0.0237
Total RVUs			2.8662
Conversion factor			× 33.4009

Office rate, Minnesota$95.73

Office: (0.98 × 1 + 1.81 × 1.029 + 0.08 × 0.296) × $33.4009 = $95.73

Facility: (0.98 × 1 + 0.25 × 1.029 + 0.08 × 0.296) × $33.4009 = $42.12

Open 64494 in the RVU calculator

Payment rules and modifiers for 64494

The CMS indicators that decide how 64494 is paid alongside other services.

CMS payment indicators · 64494

Facet joint injection, lumbar/sacral, second level

Rule	CMS value	What it means
Global period	ZZZ	Add-on code: falls within the primary procedure’s global period.
Multiple procedures	0	No multiple-procedure reduction.
Bilateral (modifier 50)	1	Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)	2	Paid.
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

64494 without 50 · national office

$95.86

Facet joint injection, lumbar/sacral, second level

64494-50 · Bilateral: 150%

$143.79

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 64494

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

Codes related to 64494
Code	How it relates	Office range, Minnesota
Primary code
64493	Facet joint injection, lumbar or sacral, one levelPrimary first-level lumbar/sacral facet service reported with this second-level add-on.	$191.05
Same family
64495	Facet injection, third and additional levelsRepresents the third lumbar/sacral facet level.	$98.83
64491	Facet injection, cervical/thoracic second levelRepresents a second facet level in the cervical or thoracic region.	$101.04
64490	Facet injection, cervical or thoracic, one levelRepresents the first facet level in the cervical or thoracic region.	$205.15

How 64494 has changed in Minnesota

64494 · Office / nonfacility

$95.73

Effective 2026-10-01

Compare with release effective

The base rate is $8.70 higher than on 2025-10-01, moving from $87.03 to $95.73 (10.0%).

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
$87.03changed to$95.73
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.00 changed to 0.98
- Practice expense RVU 1.62 changed to 1.81
- Malpractice RVU 0.10 changed to 0.08
- Practice expense GPCI 1.025 changed to 1.029
- Malpractice GPCI 0.300 changed to 0.296
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$89.90changed to$87.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.63 changed to 1.62
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$88.43changed to$89.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$90.24changed to$88.43
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.60 changed to 1.63
- Practice expense GPCI 1.019 changed to 1.025
- Malpractice GPCI 0.326 changed to 0.300
January 1, 2023
RVU23A
$91.92changed to$90.24
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 1.013 changed to 1.019
- Malpractice GPCI 0.353 changed to 0.326
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$92.33changed to$91.92
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.59 changed to 1.60
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$89.84changed to$92.33
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.44 changed to 1.59
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 1.012 changed to 1.013
- Malpractice GPCI 0.357 changed to 0.353
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$88.22changed to$89.84
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.40 changed to 1.44
- Practice expense GPCI 1.011 changed to 1.012
- Malpractice GPCI 0.362 changed to 0.357
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$86.67changed to$88.22
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.36 changed to 1.40
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$86.22changed to$86.67
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.35 changed to 1.36
- Practice expense GPCI 1.016 changed to 1.011
- Malpractice GPCI 0.341 changed to 0.362
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$87.23changed to$86.22
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.38 changed to 1.35
- Practice expense GPCI 1.020 changed to 1.016
- Malpractice GPCI 0.319 changed to 0.341
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$87.55changed to$87.23
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$87.11changed to$87.55
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$87.28changed to$87.11
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.39 changed to 1.38
- Malpractice RVU 0.08 changed to 0.09
- Practice expense GPCI 1.016 changed to 1.020
- Malpractice GPCI 0.301 changed to 0.319
Held through RVU15B.
January 1, 2014
RVU14A
$88.50changed to$87.28
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.56 changed to 1.39
- Practice expense GPCI 1.012 changed to 1.016
- Malpractice GPCI 0.282 changed to 0.301
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$88.50
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$95.73	$42.12	RVU26D
2026-07-01	$95.73	$42.12	RVU26C
2026-04-01	$95.73	$42.12	RVU26B
2026-01-01	$95.73	$42.12	RVU26A
2025-10-01	$87.03	$47.24	RVU25D
2025-07-01	$87.03	$47.24	RVU25C
2025-04-01	$87.03	$47.24	RVU25B
2025-01-01	$87.03	$47.24	RVU25A
2024-10-01	$89.90	$48.28	RVU24D
2024-07-01	$89.90	$48.28	RVU24C
2024-04-01	$89.90	$48.28	RVU24B
2024-03-09	$89.90	$48.28	RVU24AR
2024-01-01	$88.43	$47.49	RVU24A
2023-10-01	$90.24	$49.15	RVU23D
2023-07-01	$90.24	$49.15	RVU23C
2023-04-01	$90.24	$49.15	RVU23B
2023-01-01	$90.24	$49.15	RVU23A
2022-10-01	$91.92	$49.85	RVU22D
2022-07-01	$91.92	$49.85	RVU22C
2022-04-01	$91.92	$49.85	RVU22B
2022-01-01	$91.92	$49.85	RVU22A
2021-10-01	$92.33	$50.62	RVU21D
2021-07-01	$92.33	$50.62	RVU21C
2021-04-01	$92.33	$50.62	RVU21B
2021-01-01	$92.33	$50.62	RVU21A
2020-10-01	$89.84	$51.86	RVU20D
2020-07-01	$89.84	$51.86	RVU20C
2020-04-01	$89.84	$51.86	RVU20B
2020-01-01	$89.84	$51.86	RVU20A
2019-10-01	$88.22	$51.79	RVU19D
2019-07-01	$88.22	$51.79	RVU19C
2019-04-01	$88.22	$51.79	RVU19B
2019-01-01	$88.22	$51.79	RVU19A
2018-10-01	$86.67	$51.73	RVU18D
2018-07-01	$86.67	$51.73	RVU18C
2018-04-01	$86.67	$51.73	RVU18B
2018-01-01	$86.67	$51.73	RVU18AR1
2017-10-01	$86.22	$51.58	RVU17D
2017-07-01	$86.22	$51.58	RVU17C
2017-04-01	$86.22	$51.58	RVU17B
2017-01-01	$86.22	$51.58	RVU17A
2016-10-01	$87.23	$51.81	RVU16D
2016-07-01	$87.23	$51.81	RVU16C
2016-04-01	$87.23	$51.81	RVU16B
2016-01-01	$87.23	$51.81	RVU16A
2015-10-01	$87.55	$51.99	RVU15D
2015-07-01	$87.55	$51.99	RVU15C
2015-04-01	$87.11	$51.73	RVU15B
2015-01-01	$87.11	$51.73	RVU15A
2014-10-01	$87.28	$51.97	RVU14D
2014-07-01	$87.28	$51.97	RVU14C
2014-04-01	$87.28	$51.97	RVU14B
2014-01-01	$87.28	$51.97	RVU14A
2013-10-01	$88.50	$50.63	RVU13D
2013-07-01	Rate data unavailable	Rate data unavailable	RVU13C
2013-04-01	Rate data unavailable	Rate data unavailable	RVU13B
2013-01-01	Rate data unavailable	Rate data unavailable	RVU13AR

Price 64494 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

Ada
Adams
Adrian
Afton
Aitkin
Akeley
Albany
Albert Lea

Browse all communities in Minnesota

64494 billing questions

Can 64494 be reported by itself?

No. It is an add-on for the second lumbar or sacral level and is reported with 64493 for the first level.

How is 64494 different from 64495?

64494 represents the second lumbar/sacral level; 64495 represents the third. Select the code according to the number of distinct levels treated.

How should bilateral treatment be reported?

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

Are fluoroscopy or CT guidance separately reportable?

No. Image guidance is included in this facet-injection service.

What should the procedure note support?

Document the second level treated, laterality, injection target, imaging guidance, injectate, and clinical rationale. The record should distinguish the second level from the first level reported with 64493.

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 64494PPRRVU2026_Oct_nonQPP.csv, line 7,138 (RVU26D)

7,13564491,,[CPT descriptor omitted],A,,1.13,1.81,,0.28,,0.11,3.05,1.52,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,13664492,,[CPT descriptor omitted],A,,1.13,1.84,,0.31,,0.09,3.06,1.53,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,13764493,,[CPT descriptor omitted],A,,1.48,4.08,,0.82,,0.14,5.70,2.44,0,000,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,13864494,,[CPT descriptor omitted],A,,0.98,1.81,,0.25,,0.08,2.87,1.31,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,13964495,,[CPT descriptor omitted],A,,0.98,1.90,,0.29,,0.08,2.96,1.35,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,14064505,,[CPT descriptor omitted],A,,1.33,2.79,,1.21,,0.38,4.50,2.92,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,14164510,,[CPT descriptor omitted],A,,1.19,3.31,,0.79,,0.11,4.61,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797

6408202,MI,01,DETROIT,1.000,0.965,1.686

6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129

6606202,MN,00,MINNESOTA,1.000,1.029,0.296

6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739

6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977

6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002

Open CMS source How we calculate rates

Fee sheets

Put 64494 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet

What 64494 covers

How Minnesota compares for 64494

Every other payment area

64494 rates by state

How the 64494 rate is calculated

Payment rules and modifiers for 64494

What modifiers do to the payment

Codes related to 64494

How 64494 has changed in Minnesota

Where the Minnesota rate applies

64494 billing questions

Can 64494 be reported by itself?

How is 64494 different from 64495?

How should bilateral treatment be reported?

Are fluoroscopy or CT guidance separately reportable?

What should the procedure note support?

Where these rates come from

Did this answer your question about what 64494 pays in Minnesota?

Put 64494 and the rest of your codes on one sheet