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Wyoming 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
Facility
Modifier
Low / Median / High Price
$853.55 / $853.55 / $853.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $135.81 / $175.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $316.00 / $316.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $279.00 / $450.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$363.00 / $583.50 / $675.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.22 / $238.13 / $351.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.18 / $266.07 / $574.61