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Arkansas 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
$158.02 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.61 / $146.68 / $222.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$236.70 / $236.70 / $236.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $276.52 / $331.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.32 / $175.13 / $202.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.11 / $151.30 / $430.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.59 / $154.59 / $160.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.91 / $257.91 / $257.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.22 / $207.94 / $274.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.94 / $173.52 / $262.79