# CPT 64650: Chemodenervation of eccrine glands, both axillae

Medicare CPT 64650 pays $86.51 in a non-facility setting and $33.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $76.25 in Arkansas to $100.12 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/64650-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $86.51 |
| National facility | $33.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $100.12 | $43.56 |
| District of Columbia | $98.85 | $36.29 |
| California | $96.66 | $33.82 |
| New York | $95.85 | $36.61 |
| New Jersey | $95.56 | $35.76 |
| Washington | $94.87 | $34.33 |
| Massachusetts | $94.01 | $34.34 |
| Hawaii | $93.20 | $32.82 |
| Connecticut | $92.36 | $35.17 |
| Florida | $90.19 | $36.90 |
| Colorado | $89.82 | $33.32 |
| Maryland | $89.65 | $34.28 |
| Oregon | $88.89 | $32.94 |
| Rhode Island | $88.53 | $33.67 |
| New Hampshire | $88.51 | $33.23 |
| Illinois | $87.91 | $36.59 |
| Puerto Rico | $87.11 | $33.42 |
| Virgin Islands | $87.11 | $33.42 |
| Montana | $86.50 | $33.39 |
| Nevada | $85.95 | $32.79 |
| Pennsylvania | $85.74 | $33.72 |
| Minnesota | $85.67 | $31.02 |
| Wyoming | $85.55 | $32.45 |
| Delaware | $85.53 | $33.06 |
| Texas | $85.44 | $33.16 |
| Georgia | $84.50 | $33.84 |
| Virginia | $84.41 | $32.20 |
| Michigan | $84.34 | $34.47 |
| North Dakota | $84.33 | $31.22 |
| Arizona | $84.12 | $32.65 |
| Vermont | $84.09 | $31.52 |
| South Dakota | $84.07 | $30.96 |
| Utah | $82.53 | $32.61 |
| Maine | $82.46 | $31.72 |
| New Mexico | $82.26 | $33.56 |
| Missouri | $81.50 | $32.77 |
| Louisiana | $81.45 | $32.97 |
| Wisconsin | $81.44 | $30.56 |
| South Carolina | $81.39 | $32.32 |
| Ohio | $81.31 | $32.82 |
| North Carolina | $81.15 | $31.60 |
| Indiana | $80.23 | $31.00 |
| West Virginia | $80.22 | $34.07 |
| Idaho | $79.76 | $30.90 |
| Nebraska | $79.59 | $30.58 |
| Kentucky | $79.52 | $32.31 |
| Tennessee | $79.34 | $31.06 |
| Oklahoma | $79.26 | $31.83 |
| Iowa | $79.18 | $30.59 |
| Kansas | $78.91 | $30.91 |
| Alabama | $77.40 | $30.93 |
| Mississippi | $77.19 | $31.47 |
| Arkansas | $76.25 | $30.63 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64650 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