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Voice Box Muscle Injection For Spasm

Iowa rates for HCPCS 64617

A clinician injects a muscle-relaxing medication into the muscles of the voice box on one side to treat a condition that causes the voice to sound strained, strangled, or breathy because of involuntary muscle spasms. The injection is guided by a needle-based electrical reading of the muscle to make sure the medication reaches the right spot. The effect is temporary, so the injection is typically repeated every few months.

Rates data updated July 2026.

How much does Voice Box Muscle Injection For Spasm cost?

$229

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $2,239 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 7 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$191$151 to $316
FacilityA hospital or hospital-owned outpatient department$2,239$398 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $229 to $6,761Professionalmedian $191 · 10th to 90th $105 to $646
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $191

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
$234.42
Median
$2,570.40
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$338.84
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$331.13

Where Iowa sits

The same service costs 4.7 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 8th of 51

$229

CA $631KY $135

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.