Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity
Medicare pricing data for 3,174 providers across 49 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity (HCPCS code 64643) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.67, but hospitals typically charge $342.19 — a 4.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $82.67, your out-of-pocket cost would be approximately $16.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $64.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $96 | $501 | 199 | 2,403 | +16.3% |
| District of Columbia | $96 | $279 | 23 | 285 | +15.6% |
| Connecticut | $96 | $354 | 45 | 1,003 | +15.6% |
| Rhode Island | $94 | $326 | 8 | 146 | +13.4% |
| Nevada | $93 | $338 | 19 | 183 | +12.1% |
| Florida | $92 | $285 | 186 | 1,847 | +11.0% |
| California | $91 | $309 | 232 | 2,855 | +10.1% |
| Maryland | $90 | $242 | 57 | 578 | +9.0% |
| New Jersey | $86 | $382 | 87 | 827 | +4.2% |
| Illinois | $86 | $352 | 127 | 1,439 | +4.1% |
| Arizona | $86 | $238 | 53 | 502 | +3.9% |
| Colorado | $85 | $269 | 77 | 691 | +2.8% |
| Oklahoma | $84 | $226 | 23 | 263 | +2.2% |
| Massachusetts | $84 | $386 | 113 | 1,371 | +1.5% |
| Pennsylvania | $84 | $252 | 149 | 2,056 | +1.2% |
| Texas | $83 | $318 | 179 | 2,240 | +0.8% |
| Wyoming | $83 | $393 | 9 | 33 | +0.6% |
| Oregon | $83 | $286 | 40 | 255 | +0.1% |
| Missouri | $82 | $299 | 91 | 1,125 | -1.4% |
| Washington | $81 | $233 | 89 | 952 | -1.9% |
| Michigan | $81 | $279 | 122 | 838 | -2.3% |
| Alabama | $81 | $306 | 17 | 170 | -2.4% |
| North Carolina | $80 | $294 | 111 | 1,249 | -2.9% |
| South Carolina | $80 | $250 | 48 | 507 | -3.7% |
| Virginia | $80 | $295 | 73 | 650 | -3.7% |
| Indiana | $79 | $249 | 72 | 637 | -3.9% |
| Utah | $79 | $267 | 23 | 330 | -4.0% |
| Montana | $79 | $172 | 24 | 235 | -4.6% |
| Georgia | $78 | $344 | 76 | 494 | -5.2% |
| Louisiana | $78 | $237 | 54 | 341 | -5.5% |
| Ohio | $78 | $295 | 148 | 1,908 | -5.5% |
| Kansas | $77 | $349 | 27 | 324 | -7.0% |
| Minnesota | $77 | $370 | 105 | 1,680 | -7.1% |
| New Mexico | $77 | $213 | 21 | 75 | -7.2% |
| Tennessee | $77 | $292 | 54 | 465 | -7.2% |
| Delaware | $75 | $215 | 14 | 167 | -9.5% |
| New Hampshire | $75 | $372 | 25 | 283 | -9.6% |
| South Dakota | $75 | $184 | 16 | 178 | -9.8% |
| Idaho | $74 | $179 | 19 | 230 | -10.3% |
| Kentucky | $71 | $217 | 41 | 348 | -13.8% |
| Iowa | $71 | $271 | 42 | 787 | -14.1% |
| Nebraska | $70 | $269 | 27 | 448 | -15.7% |
| West Virginia | $70 | $210 | 10 | 101 | -15.8% |
| Wisconsin | $69 | $1,011 | 72 | 1,658 | -16.5% |
| Vermont | $67 | $182 | 11 | 85 | -18.7% |
| North Dakota | $65 | $139 | 17 | 233 | -20.9% |
| Mississippi | $65 | $311 | 16 | 368 | -21.1% |
| Arkansas | $65 | $252 | 21 | 235 | -21.8% |
| Maine | $64 | $185 | 22 | 250 | -22.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber