CPT 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

CPT 64643 pays $99.87 in a non-facility setting and $59.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.75 in Arkansas to $119.70 in Alaska, a 35% spread.

National non-facility rate

$99.87

Office and other outpatient settings

Facility rate
$59.79

Hospital and ASC settings

Highest state
$119.70

Alaska

Lowest state
$88.75

Arkansas · 35% 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 $99.87
CPT 64643 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $99.87, national facility $59.79.
StateRate compared visuallyNon-facilityFacility
Alaska
$119.70$77.02
District of Columbia
$112.22$65.00
New York
$110.58$65.86
New Jersey
$109.16$64.03
California
$107.39$59.96
Florida
$107.32$67.10
Washington
$106.84$61.15
Connecticut
$106.31$63.15
Massachusetts
$106.28$61.24
Illinois
$105.24$66.51
Hawaii
$103.82$58.25
Maryland
$103.21$61.42
Colorado
$102.02$59.37
Rhode Island
$101.52$60.12
New Hampshire
$101.06$59.33
Oregon
$100.87$58.64
Puerto Rico
$100.33$59.81
Virgin Islands
$100.33$59.81
Montana
$99.85$59.77
Michigan
$99.80$62.16
Pennsylvania
$99.68$60.42
Georgia
$99.03$60.79
Texas
$98.73$59.27
Delaware
$98.66$59.06
Nevada
$98.64$58.52
Wyoming
$97.87$57.79
Arizona
$97.14$58.30
New Mexico
$97.06$60.31
Virginia
$96.72$57.32
West Virginia
$96.31$61.48
Minnesota
$95.98$54.74
Utah
$95.94$58.26
Louisiana
$95.67$59.07
Vermont
$95.55$55.87
Missouri
$95.43$58.65
Ohio
$95.37$58.77
North Dakota
$95.31$55.22
South Dakota
$94.77$54.69
South Carolina
$94.73$57.70
Maine
$94.67$56.37
North Carolina
$93.58$56.19
Kentucky
$93.39$57.76
Oklahoma
$92.54$56.75
Wisconsin
$92.35$53.95
Indiana
$92.09$54.94
Idaho
$91.63$54.75
Tennessee
$91.54$55.11
Nebraska
$91.05$54.06
Kansas
$91.02$54.79
Iowa
$90.78$54.10
Mississippi
$90.57$56.06
Alabama
$89.98$54.91
Arkansas
$88.75$54.32

Billed by 1 specialties

Commercial rates for 64643

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

See negotiated rates