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Minnesota 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
$114.82 / $134.90 / $660.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $436.52 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $588.84 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$691.83 / $1,258.93 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $478.63
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.12 / $436.52 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $588.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $954.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $239.88 / $416.87
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$72.44 / $575.44 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $446.68