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Alabama rates for HCPCS 64612

Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.17 / $512.86 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$186.21 / $208.93 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $707.95 / $954.99
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$891.25 / $1,071.52 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $562.34 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $281.84