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West Virginia rates for HCPCS 64612

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

Facilitymedian $912 · 10th–90th $120–$1,5490%20%10th90th$912Professionalmedian $148 · 10th–90th $105–$3390%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$120.23 / $776.25 / $912.01
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $426.58 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $144.54 / $199.53
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $269.15 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $1,148.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $660.69
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$691.83 / $954.99 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $229.09