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Missouri rates for HCPCS 64612

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

Facilitymedian $1,660 · 10th–90th $162$5,2480%5%10th90th$1,660Professionalmedian $209 · 10th–90th $112$6310%5%10th90th$209$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
$134.90 / $2,344.23 / $5,754.40
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$549.54 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$199.53 / $426.58 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $177.83 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $269.15 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $147.91 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $741.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $245.47 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $549.54 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $263.03