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Iowa 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
$97.72 / $794.33 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$851.14 / $954.99 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $630.96 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $302.00 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $295.12 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $309.03 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $354.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $316.23