# CPT 64642: Chemodenervation One Extremity 1-4 Muscle

Medicare 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.

Web page: https://www.med-reveal.com/rates/64642-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $163.33 |
| National facility | $96.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $175.99 | $108.62 |
| Washington | $175.79 | $99.26 |
| Massachusetts | $174.75 | $99.32 |
| Connecticut | $174.57 | $102.27 |
| Illinois | $172.13 | $107.26 |
| Hawaii | $171.07 | $94.74 |
| Maryland | $169.14 | $99.16 |
| Colorado | $167.30 | $95.87 |
| Rhode Island | $166.13 | $96.78 |
| New Hampshire | $165.66 | $95.77 |
| Oregon | $165.33 | $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 | $162.74 | $96.98 |
| 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 | $155.55 | $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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64642 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules