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Additional-Limb Botox For Muscle Spasm

New Jersey rates for HCPCS 64645

An add-on service for injecting a nerve-blocking medication, commonly known by the brand name Botox, into the muscles of another limb during the same visit, using the more extensive version of the treatment that covers a broader group of muscles in that limb. It is used to relax overactive or spastic muscles, often related to conditions that cause abnormal muscle tone.

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $209$10,4710%5%10%10th90th$4,571Professionalmedian $115 · 10th–90th $74$4270%10%10th90th$115$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$4,897.79
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$131.83
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$234.42