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 Muscl Chemodenerv, Innerv, Facial Nrv
Washington, DC
See all hospitals reporting CPT 64612 →Price type
Children's National Hospital’s median price of $187 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, 40 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 | Anthem medicaid professional · fee schedule · both | $104.42 | $104.42 | $104.42 – $104.42 |
| 2 | Kaiser managed medicaid professional · fee schedule · both | $112.61 | $112.61 | $112.61 – $112.61 |
| 3 | UnitedHealthcare managed medicaid professional · fee schedule · both | $118.37 | $118.37 | $105.44 – $131.30 |
| 4 | Aetna Better Health managed medicaid professional · fee schedule · both | $121.39 | $121.39 | $117.73 – $125.05 |
| 5 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $127.96 | $127.96 | $127.96 – $127.96 |
| 6 | Molina managed medicaid (medallion) professional · fee schedule · both | $127.96 | $127.96 | $127.96 – $127.96 |
| 7 | Aetna commercial professional · fee schedule · both | $140.53 | $140.53 | $140.53 – $140.53 |
| 8 | Carefirst managed medicaid professional · fee schedule · both | $150.06 | $150.06 | $150.06 – $150.06 |
| 9 | Anthem hmo facility · fee schedule · outpatient | $153.63 | $153.63 | $153.63 – $153.63 |
| 10 | Anthem hmx facility · fee schedule · outpatient | $153.63 | $153.63 | $153.63 – $153.63 |
| 11 | Anthem ppo/par facility · fee schedule · outpatient | $153.63 | $153.63 | $153.63 – $153.63 |
| 12 | Carefirst hmo professional · fee schedule · both | $178.41 | $178.41 | $178.41 – $178.41 |
| 13 | Anthem hmx professional · fee schedule · both | $179.23 | $179.23 | $179.23 – $179.23 |
| 14 | Anthem hmo professional · fee schedule · both | $195.16 | $195.16 | $195.16 – $195.16 |
| 15 | Carefirst rpn professional · fee schedule · both | $198.24 | $198.24 | $198.24 – $198.24 |
| 16 | Anthem ppo/par professional · fee schedule · both | $244.15 | $244.15 | $244.15 – $244.15 |
| 17 | Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $265.68 | $265.68 | $265.68 – $265.68 |
| 18 | Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $265.68 | $265.68 | $265.68 – $265.68 |
| 19 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $265.68 | $265.68 | $265.68 – $265.68 |
| 20 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $273.06 | $273.06 | $273.06 – $273.06 |
| 21 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $297.00 | $297.00 | $297.00 – $297.00 |
| 22 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $297.00 | $297.00 | $297.00 – $297.00 |
| 23 | Cigna epo facility · percent of total billed charges · inpatientfrom % of charges | $309.96 | $309.96 | $309.96 – $309.96 |
| 24 | Cigna epo facility · percent of total billed charges · outpatientfrom % of charges | $309.96 | $309.96 | $309.96 – $309.96 |
| 25 | Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $317.34 | $317.34 | $317.34 – $317.34 |
Last updated: Apr 2, 2026
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