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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)

Facilitymedian $794 · 10th–90th $129–$5,0120%5%10th90th$794Professionalmedian $219 · 10th–90th $117–$7590%5%10th90th$219$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $794.33 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$851.14 / $954.99 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$199.53 / $436.52 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $288.40 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $302.00 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $288.40 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $257.04 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $954.99 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $186.21 / $354.81
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $316.23