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 CHEMODENERV FACIAL MUSCLE
Wilkes-Barre, PA
See all hospitals reporting CPT 64612 →Price type
Geisinger Wyoming Valley’s median price of $745 is 90% above the median hospital's median price ($393), higher than 74% 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: 7 payers, 18 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 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Medicare medicare fee schedule · outpatient | $303.14 | $303.14 | $303.14 – $303.14 |
| 5 | Medicare black lung - medicare advantage fee schedule · outpatient | $342.55 | $342.55 | $342.55 – $342.55 |
| 6 | Blue Cross Blue Shield highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $451.38 | $451.38 | $361.06 – $541.69 |
| 7 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $500.85 | $500.85 | $400.63 – $601.06 |
| 8 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $644.88 | $644.88 | $515.84 – $773.91 |
| 9 | Ambetter ambetter fee schedule · outpatient | $1,000 | $1,000 | $1,000 – $1,000 |
| 10 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $1,024 | $1,024 | $819.47 – $1,229 |
| 11 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $1,438 | $1,438 | $1,150 – $1,726 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $1,438 | $1,438 | $1,150 – $1,726 |
| 13 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $1,861 | $1,861 | $1,488 – $2,233 |
| 14 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $1,861 | $1,861 | $1,488 – $2,233 |
| 15 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $1,861 | $1,861 | $1,488 – $2,233 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $1,861 | $1,861 | $1,488 – $2,233 |
| 17 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $16,229 | $16,229 | $16,229 – $16,229 |
| 18 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $23,185 | $23,185 | $23,185 – $23,185 |
Last updated: Jul 1, 2026
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