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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $132.36 / $173.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.95 / $86.95 / $86.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.05 / $153.13 / $240.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.12 / $5,130.12 / $5,130.12
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,519.92 / $1,519.92 / $1,519.92
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.05 / $207.05 / $207.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.01 / $151.29 / $302.83