# CPT 64644: Chemodenervation 1 Extremity 5 or More Muscles

Medicare 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.

Web page: https://www.med-reveal.com/rates/64644-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $190.72 |
| National facility | $103.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $221.97 | $129.12 |
| District of Columbia | $216.47 | $113.77 |
| New York | $212.00 | $114.74 |
| New Jersey | $209.77 | $111.61 |
| California | $208.39 | $105.24 |
| Washington | $206.32 | $106.94 |
| 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 | $193.83 | $101.99 |
| Puerto Rico | $191.82 | $103.68 |
| Virgin Islands | $191.82 | $103.68 |
| Montana | $190.69 | $103.52 |
| Pennsylvania | $189.75 | $104.36 |
| Michigan | $188.96 | $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 |

## 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 64644 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