go back

Injection To Relax Facial Muscles, One Side

Utah rates for HCPCS 64612

This is an injection of a medication that temporarily relaxes overactive muscles, given into muscles on one side of the face that are controlled by the facial nerve. It is commonly used to treat conditions such as involuntary eyelid spasm or facial muscle spasm.

Facilitymedian $2,951 · 10th–90th $240$6,0260%10%10th90th$2,951Professionalmedian $245 · 10th–90th $135$8710%10%10th90th$245$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$3,162.28
Typical High
$6,025.60
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$363.08
Median
$363.08
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$758.58
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$169.82
Median
$524.81
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$630.96
Median
$870.96
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$316.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$223.87