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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
$13.60 / $2,218.00 / $6,298.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$901.96 / $947.04 / $956.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.37 / $173.49 / $503.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$416.16 / $1,134.34 / $1,393.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.61 / $308.74 / $390.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.61 / $196.26 / $427.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.43 / $302.04 / $734.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.04 / $296.66 / $1,415.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.36 / $289.00 / $384.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.27 / $300.87 / $379.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $201.12 / $407.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.38 / $266.30 / $313.30