go back

Nevada 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
$135.94 / $1,639.00 / $4,473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.87 / $141.87 / $613.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$220.04 / $829.50 / $1,179.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,779.00 / $3,647.00 / $4,098.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $177.56 / $237.52
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$165.82 / $220.80 / $245.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.38 / $83.38 / $83.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $182.51 / $258.47
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $138.65 / $216.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.24 / $326.24 / $326.24
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $132.77 / $210.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $176.47 / $253.91