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.
Original text from hospital filings
CHEMODNRVT MUSC INNERVATED FACIAL NRV UN
Madison, WV
See all hospitals reporting CPT 64612 →Price type
Boone Memorial Hospital’s median price of $262 is 33% below the median hospital's median price ($393), higher than 17% of the 1,913 hospitals reporting CPT 64612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana medicare advantage other · both | $256.29 | $256.29 | $256.29 – $256.29 |
| 2 | Aetna default fee schedule · both | $261.52 | $261.52 | $261.52 – $261.52 |
| 3 | Highmark default other · both | $261.52 | $261.52 | $261.52 – $261.52 |
| 4 | Cigna default percent of total billed charges · bothfrom % of charges | $696.76 | $696.76 | $696.76 – $696.76 |
| 5 | Aetna default percent of total billed charges · bothfrom % of charges | $887.30 | $887.30 | $887.30 – $887.30 |
Last updated: Apr 7, 2026
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