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
64612 - CHEMODENERVATION MUSCLE INNERVATED FACIAL NERVE UNILATERAL
Charleston, WV
See all hospitals reporting CPT 64612 →Price type
Charleston Area Medical Center’s median price of $189 is 52% below the median hospital's median price ($393), higher than 12% 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: 8 payers, 30 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 | Aetna Better Health chip fee schedule · outpatient | $88.44 | $88.44 | $88.35 – $88.53 |
| 2 | Aetna Better Health chip fee schedule · both | $88.53 | $88.53 | $88.53 – $88.53 |
| 3 | Aetna commercial fee schedule · both | $114.38 | $114.38 | $114.38 – $114.38 |
| 4 | Aetna commercial fee schedule · outpatient | $114.38 | $114.38 | $114.38 – $114.38 |
| 5 | Aetna medicare advantage fee schedule · both | $134.51 | $134.51 | $134.51 – $134.51 |
| 6 | Highmark medicare advantage fee schedule · both | $134.51 | $134.51 | $134.51 – $134.51 |
| 7 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $134.51 | $134.51 | $134.51 – $134.51 |
| 8 | UnitedHealthcare medicare advantage percent of total billed charges · bothfrom % of charges | $138.55 | $138.55 | $138.55 – $138.55 |
| 9 | Highmark ppo aca fee schedule · both | $163.53 | $163.53 | $163.53 – $163.53 |
| 10 | Highmark ppo aca fee schedule · outpatient | $163.53 | $163.53 | $163.53 – $163.53 |
| 11 | Highmark ppo/pos fee schedule · both | $163.53 | $163.53 | $163.53 – $163.53 |
| 12 | Highmark ppo/pos fee schedule · outpatient | $163.53 | $163.53 | $163.53 – $163.53 |
| 13 | Highmark traditional fee schedule · both | $163.53 | $163.53 | $163.53 – $163.53 |
| 14 | Highmark traditional fee schedule · outpatient | $163.53 | $163.53 | $163.53 – $163.53 |
| 15 | Tricare commercial percent of total billed charges · bothfrom % of charges | $189.00 | $189.00 | $189.00 – $189.00 |
| 16 | Caresource commercial percent of total billed charges · bothfrom % of charges | $201.77 | $201.77 | $201.77 – $201.77 |
| 17 | Highmark medicare advantage fee schedule · outpatient | $224.06 | $224.06 | $134.51 – $313.60 |
| 18 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $230.78 | $230.78 | $138.55 – $323.01 |
| 19 | Aetna medicare advantage fee schedule · outpatient | $231.90 | $231.90 | $134.51 – $329.28 |
| 20 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $308.70 | $308.70 | $308.70 – $308.70 |
| 21 | Cigna commercial percent of total billed charges · bothfrom % of charges | $311.85 | $311.85 | $311.85 – $311.85 |
| 22 | Tricare commercial percent of total billed charges · outpatientfrom % of charges | $368.70 | $368.70 | $189.00 – $548.40 |
| 23 | Caresource commercial percent of total billed charges · outpatientfrom % of charges | $492.89 | $492.89 | $201.77 – $784.00 |
| 24 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $515.12 | $515.12 | $134.51 – $895.72 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $580.94 | $580.94 | $311.85 – $850.02 |
Last updated: Apr 1, 2026
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