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Oregon rates for HCPCS 64612

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

Facilitymedian $269 · 10th–90th $158$2,3440%20%10th90th$269Professionalmedian $234 · 10th–90th $120$5750%10%10th90th$234$2.0$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
$234.42 / $346.74 / $6,606.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $398.11
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$190.55 / $512.86 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $275.42 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $257.04 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $478.63 / $912.01
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $275.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $223.87 / $331.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $257.04 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,174.90
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,096.48 / $1,548.82 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,318.26 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $239.88 / $346.74
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43