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Numbing Injection Near the Nerve Controlling the Diaphragm

New York rates for HCPCS 64410

This covers an injection of numbing medication around the phrenic nerve in the neck, which controls the diaphragm, the main muscle used for breathing. It can be used to help evaluate diaphragm function, to relieve symptoms such as persistent hiccups, or as part of certain pain management or surgical planning. The injection is a short outpatient procedure.

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $933 to $4,898Professionalmedian $240 · 10th to 90th $219 to $468
$200$500$1K$2K$5K$10Kfacility $3,162professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,162.28
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$239.88
Typical High
$467.74
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$125.89
Median
$144.54
Typical High
$147.91