CPT 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

CPT 64645 pays $129.60 in a non-facility setting and $70.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $113.82 in Arkansas to $151.94 in Alaska, a 33% spread.

National non-facility rate

$129.60

Office and other outpatient settings

Facility rate
$70.48

Hospital and ASC settings

Highest state
$151.94

Alaska

Lowest state
$113.82

Arkansas · 33% 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 $129.60
CPT 64645 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $129.60, national facility $70.48.
StateRate compared visuallyNon-facilityFacility
Alaska
$151.94$88.98
District of Columbia
$146.29$76.65
New York
$144.25$78.30
New Jersey
$142.05$75.48
Florida
$140.59$81.27
California
$139.37$69.42
Washington
$138.82$71.43
Connecticut
$138.50$74.82
Massachusetts
$138.11$71.68
Illinois
$137.64$80.52
Hawaii
$134.79$67.57
Maryland
$134.16$72.53
Colorado
$132.31$69.41
Rhode Island
$131.63$70.56
New Hampshire
$131.16$69.62
Oregon
$130.71$68.43
Puerto Rico
$130.23$70.46
Virgin Islands
$130.23$70.46
Michigan
$129.78$74.27
Montana
$129.57$70.45
Pennsylvania
$129.30$71.39
Georgia
$128.55$72.15
Texas
$127.91$69.71
Delaware
$127.80$69.39
Nevada
$127.77$68.59
Wyoming
$126.64$67.52
New Mexico
$125.83$71.62
Arizona
$125.70$68.42
Virginia
$125.02$66.90
West Virginia
$124.95$73.58
Utah
$124.07$68.50
Louisiana
$123.79$69.82
Minnesota
$123.71$62.88
Missouri
$123.42$69.17
Ohio
$123.35$69.38
Vermont
$123.26$64.73
North Dakota
$122.85$63.73
South Carolina
$122.36$67.73
Maine
$122.11$65.62
South Dakota
$122.05$62.94
North Carolina
$120.62$65.46
Kentucky
$120.55$67.99
Oklahoma
$119.27$66.48
Wisconsin
$118.68$62.04
Indiana
$118.44$63.64
Idaho
$117.79$63.40
Tennessee
$117.71$63.97
Kansas
$116.97$63.53
Nebraska
$116.93$62.36
Iowa
$116.56$62.46
Mississippi
$116.51$65.61
Alabama
$115.57$63.84
Arkansas
$113.82$63.04

Billed by 1 specialties

Commercial rates for 64645

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

See negotiated rates