go back

Colorado 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
$175.17 / $3,189.00 / $8,734.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$650.79 / $2,376.67 / $5,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $152.21 / $227.79
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$236.70 / $557.73 / $993.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.38 / $168.65 / $268.50
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$140.94 / $182.79 / $224.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.51 / $113.51 / $357.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.93 / $189.29 / $263.91
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.85 / $187.62 / $244.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.13 / $187.15 / $271.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.80 / $201.76 / $313.60