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Nerve-Blocking Injection, Multiple Trunk Muscles

Iowa rates for HCPCS 64647

This treatment delivers a nerve-blocking medication into a number of muscles in the trunk, the torso rather than the arms or legs, to reduce muscle spasm or abnormal, involuntary contraction. The medication temporarily interrupts the nerve signal that tells the muscle to tighten. This version treats a larger number of trunk muscles than a more limited version of the same treatment.

Rates data updated July 2026.

How much does Nerve-Blocking Injection, Multiple Trunk Muscles cost?

$251

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $229 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$229$162 to $339
FacilityA hospital or hospital-owned outpatient department$2,239$380 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $209 to $6,761Professionalmedian $229 · 10th to 90th $123 to $776
$200$500$1K$2K$5K$10Kfacility $2,239professional $229

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
$251.19
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$363.08
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$630.96
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
$141.25
Median
$229.09
Typical High
$457.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$398.11

Where Iowa sits

The same service costs 4.6 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· 11th of 51

$251

CA $692KY $151

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.