# CPT 64617: Chemodenervation Muscle Larynx Unilat W/emg

Medicare CPT 64617 pays $158.99 in a non-facility setting and $91.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $142.30 in Arkansas to $191.74 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/64617-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $158.99 |
| National facility | $91.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $191.74 | $120.24 |
| District of Columbia | $179.06 | $99.98 |
| New York | $175.27 | $100.38 |
| New Jersey | $174.04 | $98.45 |
| California | $173.45 | $94.01 |
| Washington | $171.50 | $94.96 |
| Massachusetts | $170.33 | $94.90 |
| Connecticut | $168.86 | $96.56 |
| Florida | $167.51 | $100.15 |
| Hawaii | $167.46 | $91.13 |
| Maryland | $164.23 | $94.24 |
| Illinois | $164.13 | $99.26 |
| Colorado | $163.49 | $92.06 |
| Rhode Island | $162.15 | $92.79 |
| Oregon | $161.82 | $91.09 |
| New Hampshire | $161.53 | $91.64 |
| Puerto Rico | $159.83 | $91.96 |
| Virgin Islands | $159.83 | $91.96 |
| Montana | $158.97 | $91.84 |
| Pennsylvania | $158.33 | $92.57 |
| Nevada | $157.63 | $90.42 |
| Delaware | $157.36 | $91.03 |
| Texas | $157.34 | $91.24 |
| Michigan | $157.13 | $94.09 |
| Wyoming | $156.73 | $89.59 |
| Georgia | $156.72 | $92.67 |
| Minnesota | $155.44 | $86.36 |
| Arizona | $154.99 | $89.94 |
| Virginia | $154.93 | $88.94 |
| North Dakota | $153.83 | $86.69 |
| Vermont | $153.81 | $87.35 |
| New Mexico | $153.39 | $91.82 |
| South Dakota | $153.22 | $86.09 |
| Utah | $152.79 | $89.68 |
| Maine | $151.81 | $87.66 |
| Louisiana | $151.70 | $90.40 |
| Missouri | $151.57 | $89.96 |
| Ohio | $151.36 | $90.06 |
| West Virginia | $151.14 | $92.80 |
| South Carolina | $150.96 | $88.93 |
| North Carolina | $149.92 | $87.29 |
| Wisconsin | $149.26 | $84.95 |
| Kentucky | $148.43 | $88.74 |
| Indiana | $148.06 | $85.83 |
| Oklahoma | $147.58 | $87.63 |
| Idaho | $147.33 | $85.57 |
| Tennessee | $146.91 | $85.89 |
| Nebraska | $146.77 | $84.80 |
| Iowa | $146.23 | $84.80 |
| Kansas | $146.18 | $85.49 |
| Mississippi | $144.42 | $86.61 |
| Alabama | $144.16 | $85.41 |
| Arkansas | $142.30 | $84.63 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64617 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules