Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity
Medicare pricing data for 1,095 providers across 42 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, 5 or more muscles, each additional extremity (HCPCS code 64645) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $113.96, but hospitals typically charge $405.29 — a 3.6x 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 $113.96, your out-of-pocket cost would be approximately $22.79. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $89.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $130 | $464 | 37 | 158 | +14.2% |
| Connecticut | $128 | $494 | 24 | 324 | +12.4% |
| New York | $127 | $644 | 88 | 422 | +11.4% |
| District of Columbia | $126 | $341 | 7 | 51 | +10.1% |
| Florida | $124 | $396 | 86 | 400 | +8.9% |
| Maryland | $122 | $294 | 17 | 49 | +7.0% |
| Colorado | $121 | $377 | 24 | 120 | +6.1% |
| California | $121 | $360 | 99 | 635 | +6.0% |
| Illinois | $121 | $456 | 40 | 324 | +5.9% |
| Massachusetts | $117 | $454 | 25 | 188 | +2.6% |
| Nevada | $115 | $446 | 14 | 48 | +0.9% |
| Delaware | $114 | $250 | 2 | 61 | +0.2% |
| Missouri | $113 | $510 | 31 | 458 | -0.5% |
| Arizona | $112 | $242 | 25 | 92 | -1.3% |
| Utah | $112 | $300 | 8 | 37 | -1.4% |
| South Carolina | $112 | $253 | 25 | 110 | -1.4% |
| Virginia | $112 | $394 | 23 | 71 | -1.9% |
| Oklahoma | $112 | $302 | 7 | 45 | -2.1% |
| Oregon | $111 | $356 | 12 | 33 | -2.3% |
| Pennsylvania | $111 | $280 | 45 | 181 | -2.7% |
| South Dakota | $111 | $320 | 3 | 28 | -3.0% |
| Louisiana | $110 | $292 | 16 | 104 | -3.2% |
| Ohio | $110 | $316 | 40 | 257 | -3.6% |
| Kansas | $109 | $436 | 12 | 142 | -4.1% |
| Iowa | $109 | $317 | 12 | 67 | -4.7% |
| Minnesota | $108 | $475 | 29 | 224 | -4.9% |
| Mississippi | $107 | $316 | 6 | 42 | -6.0% |
| Washington | $107 | $275 | 23 | 117 | -6.3% |
| Idaho | $106 | $236 | 3 | 57 | -7.1% |
| Michigan | $105 | $314 | 23 | 80 | -7.6% |
| Nebraska | $104 | $293 | 7 | 95 | -8.4% |
| Texas | $104 | $325 | 75 | 413 | -8.5% |
| Tennessee | $102 | $309 | 28 | 111 | -10.1% |
| Indiana | $101 | $286 | 31 | 163 | -11.2% |
| North Carolina | $101 | $344 | 31 | 94 | -11.2% |
| New Hampshire | $100 | $472 | 4 | 44 | -12.5% |
| Wisconsin | $99 | $849 | 23 | 150 | -13.5% |
| Kentucky | $98 | $272 | 11 | 34 | -14.4% |
| Georgia | $96 | $384 | 25 | 103 | -15.6% |
| Alabama | $93 | $224 | 12 | 53 | -18.6% |
| Vermont | $86 | $495 | 1 | 14 | -24.9% |
| North Dakota | $76 | $152 | 6 | 28 | -33.0% |
⚠️ 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