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New Jersey 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
$137.62 / $4,049.00 / $9,784.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$605.88 / $689.66 / $837.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.55 / $141.87 / $222.17
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$253.86 / $253.86 / $946.22
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.08 / $414.08 / $414.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $202.06 / $505.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $218.81 / $219.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.15 / $579.15 / $1,457.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.26 / $154.33 / $349.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.09 / $188.68 / $381.39