{"procedure":{"code_type":"CPT","code":"64491","lay_name":"Neck or upper back facet joint nerve injection, second level","blurb":"Add-on charge for injecting the nerves of a second cervical or thoracic spinal joint during the same visit; billed with the first-level injection.","slug":"cpt-64491-neck-or-upper-back-facet-joint-nerve-injection-second-level","description":"Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 2nd Level","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"8","label":"Other non-OR or closed therapeutic nervous system procedures","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":2282,"n_usable":2074,"n_not_usable":3,"n_labelled":74,"n_no_cash":124,"n_estimated":7,"n_states":50,"cash_p10":137.15,"cash_p20":241.2,"cash_p25":292.71,"cash_p50":661.6,"cash_p75":1257.1,"cash_p80":1438.4,"cash_p90":1978.2,"cash_mean_trimmed":712.31,"gross_p50":1133.55,"cash_to_gross_p50":0.6312,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":8,"p20":null,"p50":null,"p80":null},{"state":"AL","n":27,"p20":369.27,"p50":625.0,"p80":3517.77},{"state":"AR","n":14,"p20":163.5,"p50":291.83,"p80":1112.0},{"state":"AZ","n":22,"p20":189.73,"p50":239.17,"p80":1122.67},{"state":"CA","n":139,"p20":432.0,"p50":1368.22,"p80":1931.0},{"state":"CO","n":55,"p20":412.12,"p50":1082.8,"p80":1733.6},{"state":"CT","n":18,"p20":392.47,"p50":1103.85,"p80":3046.35},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":64,"p20":671.65,"p50":1302.4,"p80":1978.2},{"state":"GA","n":67,"p20":1008.3,"p50":1178.55,"p80":1346.28},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":75,"p20":210.4,"p50":379.4,"p80":863.2},{"state":"ID","n":21,"p20":291.85,"p50":476.73,"p80":1304.0},{"state":"IL","n":92,"p20":222.44,"p50":531.36,"p80":1417.6},{"state":"IN","n":46,"p20":110.72,"p50":254.1,"p80":734.4},{"state":"KS","n":63,"p20":196.0,"p50":533.4,"p80":860.0},{"state":"KY","n":30,"p20":280.02,"p50":583.2,"p80":1236.08},{"state":"LA","n":31,"p20":118.56,"p50":291.48,"p80":714.0},{"state":"MA","n":38,"p20":170.0,"p50":454.3,"p80":1254.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":17,"p20":138.0,"p50":328.8,"p80":718.59},{"state":"MI","n":65,"p20":108.0,"p50":320.0,"p80":689.65},{"state":"MN","n":78,"p20":164.64,"p50":421.97,"p80":1010.65},{"state":"MO","n":55,"p20":213.6,"p50":578.5,"p80":908.6},{"state":"MS","n":32,"p20":145.69,"p50":213.2,"p80":620.4},{"state":"MT","n":18,"p20":150.8,"p50":208.0,"p80":613.0},{"state":"NC","n":46,"p20":453.6,"p50":1059.6,"p80":1611.33},{"state":"ND","n":12,"p20":107.61,"p50":336.0,"p80":778.05},{"state":"NE","n":46,"p20":210.4,"p50":548.94,"p80":1050.0},{"state":"NH","n":16,"p20":130.82,"p50":417.24,"p80":690.03},{"state":"NJ","n":35,"p20":228.7,"p50":1193.49,"p80":5110.0},{"state":"NM","n":13,"p20":403.6,"p50":676.5,"p80":870.1},{"state":"NV","n":10,"p20":177.1,"p50":295.0,"p80":1610.7},{"state":"NY","n":61,"p20":165.6,"p50":583.9,"p80":3393.19},{"state":"OH","n":128,"p20":426.4,"p50":1132.0,"p80":1729.65},{"state":"OK","n":33,"p20":158.9,"p50":418.95,"p80":814.45},{"state":"OR","n":33,"p20":175.29,"p50":324.0,"p80":990.4},{"state":"PA","n":70,"p20":141.3,"p50":845.4,"p80":1656.6},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":30,"p20":486.0,"p50":1385.15,"p80":1385.15},{"state":"SD","n":12,"p20":264.0,"p50":264.0,"p80":691.24},{"state":"TN","n":32,"p20":319.35,"p50":525.0,"p80":758.24},{"state":"TX","n":147,"p20":619.74,"p50":847.74,"p80":1139.25},{"state":"UT","n":31,"p20":668.78,"p50":961.55,"p80":1131.24},{"state":"VA","n":51,"p20":264.6,"p50":681.1,"p80":1526.0},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":44,"p20":233.0,"p50":647.2,"p80":1153.6},{"state":"WI","n":79,"p20":295.57,"p50":559.86,"p80":834.1},{"state":"WV","n":25,"p20":168.0,"p50":575.0,"p80":921.67},{"state":"WY","n":13,"p20":247.0,"p50":430.1,"p80":973.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1506,"p20":279.0,"p50":735.0,"p80":1527.0},{"key":"childrens","n":37,"p20":341.19,"p50":1325.63,"p80":4341.0},{"key":"critical_access","n":523,"p20":160.0,"p50":400.0,"p80":961.55}],"ownership":[{"key":"for_profit","n":192,"p20":306.8,"p50":988.75,"p80":1818.0},{"key":"government","n":380,"p20":219.0,"p50":493.63,"p80":1073.15},{"key":"nonprofit","n":1494,"p20":242.4,"p50":668.12,"p80":1506.0}],"affiliation":[{"key":"affiliated","n":1702,"p20":264.0,"p50":702.0,"p80":1526.0},{"key":"independent","n":372,"p20":170.89,"p50":437.85,"p80":1001.0}]},"histogram":[{"lo":92.22,"hi":130.78,"n":92},{"lo":130.78,"hi":185.46,"n":119},{"lo":185.46,"hi":263.01,"n":137},{"lo":263.01,"hi":372.97,"n":213},{"lo":372.97,"hi":528.92,"n":216},{"lo":528.92,"hi":750.08,"n":288},{"lo":750.08,"hi":1063.7,"n":244},{"lo":1063.7,"hi":1508.45,"n":273},{"lo":1508.45,"hi":2139.17,"n":221},{"lo":2139.17,"hi":3033.6,"n":65}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1590,"n_usable":1480,"n_not_usable":3,"n_labelled":34,"n_no_cash":73,"n_estimated":0,"n_states":50,"cash_p10":151.9,"cash_p20":273.75,"cash_p25":324.5,"cash_p50":705.0,"cash_p75":1304.0,"cash_p80":1452.71,"cash_p90":1929.0,"cash_mean_trimmed":760.69,"gross_p50":1235.75,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":14,"p20":384.0,"p50":625.0,"p80":4490.0},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":16,"p20":190.34,"p50":221.24,"p80":920.08},{"state":"CA","n":121,"p20":514.8,"p50":1458.75,"p80":1931.0},{"state":"CO","n":42,"p20":607.9,"p50":1224.75,"p80":2404.8},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":49,"p20":679.2,"p50":1459.77,"p80":1978.2},{"state":"GA","n":54,"p20":1025.0,"p50":1178.55,"p80":1346.28},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":43,"p20":237.6,"p50":548.94,"p80":1113.0},{"state":"ID","n":13,"p20":291.85,"p50":1103.4,"p80":1304.0},{"state":"IL","n":74,"p20":232.95,"p50":599.73,"p80":1417.6},{"state":"IN","n":22,"p20":139.15,"p50":279.4,"p80":529.1},{"state":"KS","n":17,"p20":306.6,"p50":530.4,"p80":751.5},{"state":"KY","n":23,"p20":348.63,"p50":588.0,"p80":1236.08},{"state":"LA","n":19,"p20":101.5,"p50":181.05,"p80":363.52},{"state":"MA","n":32,"p20":170.0,"p50":382.05,"p80":1254.0},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":16,"p20":128.75,"p50":230.85,"p80":659.68},{"state":"MI","n":52,"p20":277.72,"p50":458.7,"p80":804.7},{"state":"MN","n":59,"p20":99.99,"p50":302.6,"p80":1187.24},{"state":"MO","n":30,"p20":152.15,"p50":545.0,"p80":908.6},{"state":"MS","n":17,"p20":162.34,"p50":255.74,"p80":416.24},{"state":"MT","n":11,"p20":150.8,"p50":150.8,"p80":294.0},{"state":"NC","n":35,"p20":307.04,"p50":1154.0,"p80":1611.33},{"state":"ND","n":9,"p20":null,"p50":null,"p80":null},{"state":"NE","n":22,"p20":255.11,"p50":548.94,"p80":1050.0},{"state":"NH","n":13,"p20":73.5,"p50":417.24,"p80":690.03},{"state":"NJ","n":15,"p20":72.32,"p50":527.93,"p80":2704.0},{"state":"NM","n":9,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":147.5,"p50":477.0,"p80":1179.0},{"state":"OH","n":115,"p20":426.4,"p50":1236.75,"p80":1729.65},{"state":"OK","n":26,"p20":158.9,"p50":400.0,"p80":557.6},{"state":"OR","n":18,"p20":178.1,"p50":293.0,"p80":1156.39},{"state":"PA","n":60,"p20":155.81,"p50":845.4,"p80":1620.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":26,"p20":802.8,"p50":1385.15,"p80":1385.15},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":29,"p20":296.72,"p50":525.0,"p80":660.61},{"state":"TX","n":112,"p20":659.12,"p50":939.52,"p80":1131.41},{"state":"UT","n":28,"p20":668.78,"p50":961.55,"p80":1131.24},{"state":"VA","n":44,"p20":220.5,"p50":667.5,"p80":1497.6},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":28,"p20":371.79,"p50":712.4,"p80":1168.8},{"state":"WI","n":60,"p20":395.34,"p50":646.2,"p80":859.27},{"state":"WV","n":7,"p20":null,"p50":null,"p80":null},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1167,"p20":294.58,"p50":741.45,"p80":1524.4},{"key":"childrens","n":20,"p20":332.64,"p50":712.4,"p80":2119.0},{"key":"critical_access","n":285,"p20":180.0,"p50":430.45,"p80":1132.56}],"ownership":[{"key":"for_profit","n":124,"p20":233.0,"p50":741.45,"p80":1346.28},{"key":"government","n":203,"p20":266.4,"p50":592.0,"p80":1228.0},{"key":"nonprofit","n":1145,"p20":280.35,"p50":712.4,"p80":1524.4}],"affiliation":[{"key":"affiliated","n":1289,"p20":294.8,"p50":741.45,"p80":1524.4},{"key":"independent","n":191,"p20":174.9,"p50":454.23,"p80":1001.0}]},"histogram":[{"lo":101.67,"hi":140.21,"n":54},{"lo":140.21,"hi":193.36,"n":83},{"lo":193.36,"hi":266.66,"n":79},{"lo":266.66,"hi":367.75,"n":130},{"lo":367.75,"hi":507.15,"n":143},{"lo":507.15,"hi":699.41,"n":175},{"lo":699.41,"hi":964.54,"n":165},{"lo":964.54,"hi":1330.17,"n":225},{"lo":1330.17,"hi":1834.41,"n":194},{"lo":1834.41,"hi":2529.8,"n":87}],"previous":null}},"related":[{"code_type":"CPT","code":"64450","lay_name":"Nerve block injection of another peripheral nerve","slug":"cpt-64450-nerve-block-injection-of-another-peripheral-nerve"},{"code_type":"CPT","code":"95992","lay_name":"Repositioning maneuver for vertigo from inner ear crystals","slug":"cpt-95992-repositioning-maneuver-for-vertigo-from-inner-ear-crystals"},{"code_type":"CPT","code":"62273","lay_name":"Epidural blood patch injection","slug":"cpt-62273-epidural-blood-patch-injection"},{"code_type":"CPT","code":"64400","lay_name":"Nerve block injection into a facial sensation nerve branch","slug":"cpt-64400-nerve-block-injection-into-a-facial-sensation-nerve-branch"},{"code_type":"CPT","code":"64405","lay_name":"Nerve block injection at the back of the head","slug":"cpt-64405-nerve-block-injection-at-the-back-of-the-head"},{"code_type":"CPT","code":"64493","lay_name":"Low back facet joint nerve injection, first level","slug":"cpt-64493-low-back-facet-joint-nerve-injection-first-level"},{"code_type":"CPT","code":"64447","lay_name":"Femoral nerve block, single injection","slug":"cpt-64447-femoral-nerve-block-single-injection"},{"code_type":"CPT","code":"64420","lay_name":"Nerve block injection at one rib nerve level","slug":"cpt-64420-nerve-block-injection-at-one-rib-nerve-level"},{"code_type":"CPT","code":"64490","lay_name":"Neck or upper back facet joint nerve injection, first level","slug":"cpt-64490-neck-or-upper-back-facet-joint-nerve-injection-first-level"},{"code_type":"CPT","code":"64494","lay_name":"Low back facet joint nerve injection, second level","slug":"cpt-64494-low-back-facet-joint-nerve-injection-second-level"},{"code_type":"CPT","code":"64999","lay_name":"Unlisted procedure on the nervous system","slug":"cpt-64999-unlisted-procedure-on-the-nervous-system"},{"code_type":"CPT","code":"64445","lay_name":"Sciatic nerve block, single injection","slug":"cpt-64445-sciatic-nerve-block-single-injection"}]}