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
CHEMODENERV 1 EXTREM 1-4 EA
Ord, NE
See all hospitals reporting CPT 64643 →Price type
Valley County Hospital’s median price of $55 is 89% below the median hospital's median price ($500), higher than 1% of the 1,607 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: 8 payers, 13 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 | UnitedHealthcare managed medicaid professional · fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Molina managed medicaid/chip professional · fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Molina dual eligible plan professional · fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Bcbs Ne medicare advantage professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 5 | Medica medicare advantage professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Humana medicare advantage professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 8 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Aetna medicare advantage professional · fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 10 | Medica individual and family business plans professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 11 | Bcbs Ne commercial professional · case rate · both | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Medica commercial plans/care system products professional · fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
Last updated: Jun 15, 2026
See Add-on injection to block nerve signals in an additional limb pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.