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Massachusetts 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
$138.04 / $1,995.26 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$575.44 / $776.25 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $562.34
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.17 / $562.34 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $602.56 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $338.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $218.78 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $288.40
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $380.19
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $524.81 / $741.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $446.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $602.56 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $389.05