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Muscle-Relaxing Injections Into One Limb, Extensive

South Dakota rates for HCPCS 64644

This service delivers injections of a muscle-relaxing medication into multiple muscles of a single arm or leg, used to ease stiffness or spasticity caused by conditions that overactivate certain muscles. It covers treatment of a larger number of muscles in that limb than the more limited version of this same treatment.

Rates data updated July 2026.

How much does Muscle-Relaxing Injections Into One Limb, Extensive cost?

$214

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $269 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$145 to $380
FacilityA hospital or hospital-owned outpatient department$269$191 to $1,905

How much rates vary

Facilitymedian $269 · 10th to 90th $166 to $2,291Professionalmedian $214 · 10th to 90th $107 to $407
$100$200$500$1K$2Kfacility $269professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,905.46
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$407.38
Avera
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$338.84
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$380.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$354.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$446.68
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$467.74

Where South Dakota sits

The same service costs 2.2 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 17th of 51

$214

WI $339KY $155

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.