Rates by insurance carrier
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Vermont rates for HCPCS 46505
Injection of a muscle-relaxing medicine, usually botulinum toxin, into the inner ring of muscle around the anus so it stops gripping so tightly. Easing that spasm improves blood flow to the area and lets a painful tear in the anal lining heal. The effect wears off over a few months, by which time healing has usually happened.
Rates data updated July 2026.
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