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New York 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
$161.07 / $2,920.00 / $10,024.57
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$208.30 / $690.67 / $920.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.42 / $156.27 / $342.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$217.52 / $397.21 / $901.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $157.03 / $349.18
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$187.68 / $233.07 / $522.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.67 / $164.67 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.67 / $164.67 / $189.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.85 / $198.85 / $198.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.41 / $207.11 / $553.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $173.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.68 / $211.29 / $311.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.68 / $127.68 / $127.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.89 / $151.80 / $290.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.10 / $447.10 / $1,387.28
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,769.43 / $1,815.75 / $2,152.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.85 / $555.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $208.76 / $533.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.11 / $192.51 / $442.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.34 / $138.34 / $604.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.81 / $167.31 / $302.81