CPT 64642

Chemodenervation One Extremity 1-4 Muscle

CPT 64642 pays $163.33 in a non-facility setting and $96.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $143.40 in Arkansas to $190.64 in Alaska, a 33% spread.

National non-facility rate

$163.33

Office and other outpatient settings

Facility rate
$96.19

Hospital and ASC settings

Highest state
$190.64

Alaska

Lowest state
$143.40

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $163.33
CPT 64642 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $163.33, national facility $96.19.
StateRate compared visuallyNon-facilityFacility
Alaska
$190.64$119.14
District of Columbia
$184.89$105.80
New York
$181.72$106.83
New Jersey
$179.34$103.74
California
$176.99$97.55
Florida
$175.98$108.62
Washington
$175.79$99.25
Massachusetts
$174.75$99.32
Connecticut
$174.57$102.27
Illinois
$172.13$107.26
Hawaii
$171.07$94.74
Maryland
$169.14$99.15
Colorado
$167.30$95.87
Rhode Island
$166.13$96.78
New Hampshire
$165.66$95.77
Oregon
$165.32$94.60
Puerto Rico
$164.20$96.32
Virgin Islands
$164.20$96.32
Montana
$163.30$96.17
Michigan
$162.75$99.71
Pennsylvania
$162.73$96.97
Georgia
$161.53$97.48
Nevada
$161.25$94.05
Texas
$161.20$95.11
Delaware
$161.13$94.80
Wyoming
$159.94$92.81
Arizona
$158.46$93.41
New Mexico
$157.94$96.37
Virginia
$157.86$91.87
Minnesota
$156.96$87.88
West Virginia
$156.30$97.96
Utah
$156.21$93.10
Vermont
$155.93$89.47
North Dakota
$155.59$88.46
Louisiana
$155.54$94.25
Missouri
$155.18$93.57
Ohio
$155.04$93.74
South Dakota
$154.68$87.55
Maine
$154.17$90.02
South Carolina
$154.04$92.01
North Carolina
$152.16$89.52
Kentucky
$151.51$91.82
Wisconsin
$150.26$85.95
Oklahoma
$150.10$90.14
Indiana
$149.59$87.35
Idaho
$148.74$86.98
Tennessee
$148.52$87.49
Nebraska
$147.80$85.83
Kansas
$147.60$86.91
Iowa
$147.27$85.84
Mississippi
$146.51$88.71
Alabama
$145.61$86.87
Arkansas
$143.40$85.73

Billed by 1 specialties

Commercial rates for 64642

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates