Add-on injection to block nerve signals in an additional limb at Benefis Hospitals Inc

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Falls, MT

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How this price compares nationally

Benefis Hospitals Inc’s median price of $135 is 73% below the median hospital's median price ($500), higher than 25% of the 1,607 hospitals reporting CPT 64643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64643 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
2	Cigna bhs hb allegiance fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
3	Healthpartners bhs hb allegiance fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
4	Kaiser bhs hb allegiance fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
5	Medical Mutual bhs hb allegiance fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
6	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$119	$119	$23	20%	—	$96 – $142
7	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges	$126	$126	$25	20%	—	$101 – $150
8	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges	$137	$137	$27	20%	—	$110 – $164
9	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$146	$146	$29	20%	—	$118 – $175
10	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$149	$149	$29	20%	—	$120 – $178
11	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$156	$156	$31	20%	—	$125 – $186
12	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges	$156	$156	$31	20%	—	$125 – $186
13	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$157	$157	$31	20%	—	$126 – $188
14	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$165	$165	$32	20%	—	$132 – $197
15	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$165	$165	$32	20%	—	$132 – $197
16	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$165	$165	$32	20%	—	$132 – $197
17	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$165	$165	$32	20%	—	$132 – $197
18	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$168	$168	$33	20%	—	$135 – $201
19	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$168	$168	$33	20%	—	$135 – $201
20	UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges	$174	$174	$34	20%	—	$140 – $208

Last updated: Mar 26, 2026

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