CPT 64644

Chemodenervation 1 Extremity 5 Or More Muscles

CPT 64644 pays $190.72 in a non-facility setting and $103.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $167.57 in Arkansas to $221.97 in Alaska, a 32% spread.

National non-facility rate

$190.72

Office and other outpatient settings

Facility rate
$103.54

Hospital and ASC settings

Highest state
$221.97

Alaska

Lowest state
$167.57

Arkansas · 32% 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 $190.72
CPT 64644 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $190.72, national facility $103.54.
StateRate compared visuallyNon-facilityFacility
Alaska
$221.97$129.12
District of Columbia
$216.47$113.77
New York
$211.99$114.74
New Jersey
$209.76$111.60
California
$208.39$105.24
Washington
$206.32$106.93
Massachusetts
$204.92$106.97
Connecticut
$203.81$109.92
Florida
$203.76$116.29
Hawaii
$201.29$102.17
Illinois
$199.11$114.87
Maryland
$197.55$106.67
Colorado
$196.07$103.31
Rhode Island
$194.30$104.25
New Hampshire
$193.90$103.15
Oregon
$193.82$101.98
Puerto Rico
$191.82$103.68
Virgin Islands
$191.82$103.68
Montana
$190.69$103.52
Pennsylvania
$189.75$104.36
Michigan
$188.95$107.09
Nevada
$188.61$101.34
Texas
$188.26$102.44
Delaware
$188.25$102.12
Georgia
$187.99$104.83
Wyoming
$187.25$100.07
Arizona
$185.13$100.66
Virginia
$184.78$99.09
Minnesota
$184.74$95.04
New Mexico
$183.59$103.65
Vermont
$182.94$96.63
North Dakota
$182.78$95.61
Utah
$182.26$100.32
South Dakota
$181.85$94.67
Louisiana
$181.06$101.47
West Virginia
$180.99$105.23
Missouri
$180.77$100.78
Ohio
$180.54$100.95
Maine
$180.47$97.17
South Carolina
$179.73$99.18
North Carolina
$177.97$96.64
Wisconsin
$176.51$92.99
Kentucky
$176.46$98.96
Indiana
$175.22$94.41
Oklahoma
$175.09$97.24
Idaho
$174.22$94.02
Tennessee
$173.77$94.53
Nebraska
$173.30$92.84
Kansas
$172.74$93.93
Iowa
$172.61$92.85
Mississippi
$170.80$95.74
Alabama
$170.14$93.86
Arkansas
$167.57$92.68

Billed by 1 specialties

Commercial rates for 64644

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

See negotiated rates