# CPT 64643: Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Medicare 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.

Web page: https://www.med-reveal.com/rates/64643-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $99.87 |
| National facility | $59.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $61.25 |
| Illinois | $105.24 | $66.51 |
| Hawaii | $103.82 | $58.25 |
| Maryland | $103.21 | $61.43 |
| Colorado | $102.02 | $59.37 |
| Rhode Island | $101.52 | $60.12 |
| New Hampshire | $101.06 | $59.33 |
| Oregon | $100.87 | $58.65 |
| Puerto Rico | $100.33 | $59.81 |
| Virgin Islands | $100.33 | $59.81 |
| Montana | $99.85 | $59.77 |
| Michigan | $99.80 | $62.17 |
| Pennsylvania | $99.69 | $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 |

## 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 64643 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