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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)

Facilitymedian $3,162 · 10th–90th $186$10,2330%5%10%10th90th$3,162Professionalmedian $200 · 10th–90th $120$5370%10%10th90th$200$50.0$200.0$1.0K$5.0K$20.0K

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
$169.82 / $3,090.30 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$208.93 / $912.01 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $389.05 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $134.90 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$204.17 / $204.17 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$186.21 / $234.42 / $524.81
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $199.53 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $630.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $134.90 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $323.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $288.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $1,380.38
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,137.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $549.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $602.56
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $380.19