Add-on injection to block nerve signals in an additional limb at Overlook Medical Center

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

Chemodenerv Add Extrm 1-4 Musc(S)

Summit, NJ

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How this price compares nationally

Overlook Medical Center’s median price of $1.0k is 108% above the median hospital's median price ($500), higher than 64% 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 Overlook Medical Center

Negotiated rates from the hospital’s own file: 17 payers, 28 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	Aetna omc aetna ahs employee other · outpatient	$7	$7	—	—	—	$7 – $7
2	Aetna omc aetna medicare fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Aetna omc aetna nnj prime other · outpatient	$7	$7	—	—	—	$7 – $7
4	Ambetter omc ambetter wellcare of nj other · outpatient	$7	$7	—	—	—	$7 – $7
5	Anthem omc horizon braven other · outpatient	$7	$7	—	—	—	$7 – $7
6	Blue Cross Blue Shield omc horizon braven other · outpatient	$7	$7	—	—	—	$7 – $7
7	Cigna omc cigna medicare fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
8	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$7	$7	—	—	—	$7 – $7
9	Highmark omc horizon braven other · outpatient	$7	$7	—	—	—	$7 – $7
10	Tricare omc tricare contract other · outpatient	$7	$7	—	—	—	$7 – $7
11	Tricare omc tricare-east (humana military) other · outpatient	$7	$7	—	—	—	$7 – $7
12	WellCare omc wellcare phw other · outpatient	$7	$7	—	—	—	$7 – $7
13	WellCare omc wellcare/fedelis medicare other · outpatient	$7	$7	—	—	—	$7 – $7
14	Amerihealth Caritas omc amerihealth caritas other · outpatient	$7	$7	—	—	—	$7 – $7
15	Aetna omc aetna htc other · outpatient	$9	$9	—	—	—	$9 – $9
16	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$339	$339	—	—	—	$339 – $339
17	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$339	$339	—	—	—	$339 – $339
18	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$407	$407	—	—	—	$407 – $407
19	Humana omc qualcare percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Oscar omc qualcare percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	First Health first health percent of total billed charges · bothfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Blue Cross Blue Shield omc horizon commercial percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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