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.
Original text from hospital filings
Chemodenervation 1 Extremity Ea Addl 1-4 Muscle
Eureka, IL
See all hospitals reporting CPT 64643 →Price type
Carle Eureka Hospital’s median price of $230 is 54% below the median hospital's median price ($506), higher than 33% of the 1,599 hospitals reporting CPT 64643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $126 | $126 | $30 | 24% | — | $96 – $155 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $126 | $126 | $30 | 24% | — | $96 – $155 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $126 | $126 | $30 | 24% | — | $96 – $155 |
| 10 | Aetna commercial fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $67 | 24% | — | $216 – $349 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $67 | 24% | — | $216 – $349 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $67 | 24% | — | $216 – $349 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $67 | 24% | — | $216 – $349 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $301 | $301 | $71 | 24% | — | $230 – $372 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $386 | $386 | $91 | 24% | — | $295 – $476 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $387 | $387 | $91 | 24% | — | $296 – $479 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $415 | $415 | $98 | 24% | — | $317 – $513 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $98 | 24% | — | $317 – $513 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $421 | $421 | $99 | 24% | — | $322 – $520 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $471 | $471 | $111 | 24% | — | $360 – $582 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $528 | $528 | $124 | 24% | — | $403 – $652 |
Last updated: Apr 15, 2026
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