Botox injections to relax facial muscles on one side

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Chemdnrvtn/Dest Nerve Neurlytic Fac|BILATERAL PROCEDURE

Payers reporting CPT 64612

68 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +37 other terms	564	$301.98	$746.07	$1.00 – $17,881
2	Aetna fee schedule · outpatient · +40 other terms	511	$333.36	$1,046	$1.05 – $21,319
3	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	408	$394.72	$965.49	$1.00 – $18,025
4	Humana fee schedule · outpatient · +29 other terms	378	$295.67	$372.87	$1.00 – $12,772
5	Cigna case rate · outpatient · +36 other terms	322	$2,893	$4,457	$0.62 – $40,673
6	Molina fee schedule · outpatient · +28 other terms	237	$227.71	$194.93	$1.00 – $1,576
7	WellCare fee schedule · outpatient · +21 other terms	180	$298.27	$367.44	$68.02 – $4,280
8	Anthem fee schedule · outpatient · +31 other terms	133	$330.88	$438.41	$71.94 – $6,285
9	Oscar case rate · outpatient · +21 other terms	129	$2,516	$2,675	$461.57 – $7,454
10	Kaiser fee schedule · outpatient · +25 other terms	103	$387.91	$523.95	$20.00 – $4,280
11	Ambetter facility · fee schedule · outpatient · +19 other terms	88	$556.60	$646.15	$139.51 – $8,168
12	Aetna Better Health fee schedule · outpatient · +19 other terms	75	$81.78	$114.15	$71.26 – $470.40
13	Devoted fee schedule · outpatient · +16 other terms	71	$299.35	$287.21	$116.08 – $342.98
14	Optum fee schedule · outpatient · +23 other terms	66	$271.23	$298.70	$104.41 – $1,133
15	Caresource fee schedule · outpatient · +17 other terms	64	$311.64	$580.04	$1.08 – $4,280
16	MultiPlan fee schedule · outpatient · +23 other terms	53	$434.31	$451.79	$76.13 – $1,017
17	Highmark facility · fee schedule · outpatient · +19 other terms	44	$474.42	$577.02	$77.18 – $2,099
18	Healthcare Highways case rate · outpatient · +3 other terms	42	$5,841	$6,552	$2,069 – $14,612
19	First Health fee schedule · outpatient · +22 other terms	41	$320.54	$898.02	$64.78 – $7,246
20	Superior Healthplan case rate · outpatient · +4 other terms	38	$948.00	$935.38	$443.50 – $948.00
21	Tricare fee schedule · outpatient · +19 other terms	34	$278.49	$848.20	$105.13 – $5,064
22	Cigna Healthspring fee schedule · outpatient · +9 other terms	33	$105.18	$167.17	$68.02 – $327.32
23	Medica fee schedule · outpatient · +20 other terms	32	$253.69	$282.94	$42.24 – $731.00
24	Clover fee schedule · outpatient · +9 other terms	31	$329.58	$865.46	$277.06 – $4,363
25	Medicare facility · fee schedule · outpatient · +16 other terms	31	$322.63	$1,118	$60.44 – $22,000

Page 1 of 3 · 68 payers