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North Carolina rates for HCPCS 64612

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

Facilitymedian $525 · 10th–90th $148$5,2480%5%10%10th90th$525Professionalmedian $219 · 10th–90th $115$5750%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
$181.97 / $645.65 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$229.09 / $776.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $416.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$190.55 / $416.87 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $269.15 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $218.78 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $302.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $213.80 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $257.04
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,288.25 / $1,288.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,737.80 / $1,737.80