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Kentucky rates for HCPCS 64612

Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)

Facilitymedian $1,622 · 10th–90th $141$3,0200%5%10th90th$1,622Professionalmedian $170 · 10th–90th $110$3800%10%10th90th$170$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
$109.65 / $281.84 / $3,890.45
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $380.19 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $208.93 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,137.96 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $199.53 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $151.36 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $245.47