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Additional-Limb Botox For Muscle Spasm

Rhode Island 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.

How much does Additional-Limb Botox For Muscle Spasm cost?

$115

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $100 to $148.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,230 · 10th to 90th $316 to $3,802Professionalmedian $110 · 10th to 90th $74 to $191
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,230professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,412.54
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$229.09

Where Rhode Island sits

The same service costs 5.0 times more in Oklahoma than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $115 · 41st of 51
OK $501KY $100

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.