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
HC Chemodnrvtj Musc Musc Innervated Facial Nrv Unil
Boston, MA
See all hospitals reporting CPT 64612 →Price type
Boston Medical Center’s median price of $392 is about the same as the median hospital's median price ($393), higher than 50% 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: 9 payers, 16 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 | UnitedHealthcare bmc hb harvard pilgrim fee schedule · both | $247.48 | $247.48 | $247.48 – $247.48 |
| 2 | Blue Cross Blue Shield bmc hb blue cross fee schedule · both | $283.01 | $283.01 | $283.01 – $283.01 |
| 3 | Tricare bmc hb tricare other · both | $333.03 | $333.03 | $333.03 – $333.03 |
| 4 | Aetna bmc hb medicare - no ime other · both | $356.58 | $356.58 | $356.58 – $356.58 |
| 5 | Blue Cross Blue Shield bmc hb medicare - no ime other · both | $356.58 | $356.58 | $356.58 – $356.58 |
| 6 | Humana bmc hb medicare - no ime other · both | $356.58 | $356.58 | $356.58 – $356.58 |
| 7 | Medicare bmc hb medicare other · both | $356.58 | $356.58 | $356.58 – $356.58 |
| 8 | UnitedHealthcare bmc hb medicare - no ime other · both | $356.58 | $356.58 | $356.58 – $356.58 |
| 9 | WellCare bmc hb wellcare (104% of medicare - no ime - ct & nh only) other · both | $370.84 | $370.84 | $370.84 – $370.84 |
| 10 | Aetna bmc hb aetna percent of total billed charges · bothfrom % of charges | $594.14 | $594.14 | $594.14 – $594.14 |
| 11 | Aetna bmc hb aetna student health percent of total billed charges · bothfrom % of charges | $594.14 | $594.14 | $594.14 – $594.14 |
| 12 | Optum bmc hb optum commercial per diem · both | $695.29 | $695.29 | $695.29 – $695.29 |
| 13 | Optum bmc hb optum medicaid per diem · both | $695.29 | $695.29 | $695.29 – $695.29 |
| 14 | UnitedHealthcare bmc hb united healthcare commercial other · both | $876.04 | $876.04 | $876.04 – $876.04 |
| 15 | Cigna bmc hb tufts ppo fee schedule · both | $960.40 | $960.40 | $960.40 – $960.40 |
| 16 | Cigna bmc hb cigna percent of total billed charges · bothfrom % of charges | $1,033 | $1,033 | $1,033 – $1,033 |
Last updated: Mar 13, 2026
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