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Muscle-Relaxing Injections Into One Limb, Extensive

Virginia 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?

$186

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $447 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$174$135 to $219
FacilityA hospital or hospital-owned outpatient department$447$162 to $2,951

How much rates vary

Facilitymedian $447 · 10th to 90th $120 to $5,888Professionalmedian $174 · 10th to 90th $115 to $309
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $447professional $174

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
$134.90
Median
$1,949.84
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$288.40
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Sentara
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$2,691.53
Sentara
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$295.12

Where Virginia sits

The same service costs 2.2 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $186 · 25th of 51
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.