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Continuous Numbing Infusion Near Lumbar Plexus

Washington rates for HCPCS 64449

Places a fine catheter from the back alongside the lumbar plexus, the bundle of nerves in the lower back that supplies the hip, thigh and knee, and leaves it there to deliver a continuous infusion of numbing medication. Bathing the nerves steadily keeps the area numb for days, rather than the few hours a single injection lasts. It is used mainly for pain control after surgery on the hip or leg.

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $81$6,4570%10%10th90th$162Professionalmedian $117 · 10th–90th $68$2290%10%10th90th$117$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$2,818.38
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$81.28
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$338.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$5,011.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$186.21
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$37.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$158.49
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$309.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$162.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,754.23
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$190.55
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$123.03