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Vermont 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
Professional
Modifier
Low / Median / High Price
$132.36 / $156.05 / $196.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $490.77 / $490.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.53 / $180.18 / $299.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.83 / $180.49 / $299.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.23 / $212.64 / $547.04