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Additional-Limb Botox For Muscle Spasm

Utah 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.

Facilitymedian $3,020 · 10th–90th $158$4,5710%10%10th90th$3,020Professionalmedian $138 · 10th–90th $79$4680%10%10th90th$138$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$158.49
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$234.42
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$173.78