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
Injection of chemical for paralysis of nerve muscles on side of face
Glendale, CA
See all hospitals reporting CPT 64612 →Price type
Glendale Adventist Medical Center’s median price of $379 is 3% below the median hospital's median price ($393), higher than 48% 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: 10 payers, 44 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 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $20.00 | $20.00 | $20.00 – $20.00 |
| 2 | Medicaid medi-cal fee schedule · outpatient | $51.70 | $51.70 | $20.00 – $83.40 |
| 3 | Molina molina mcal fee schedule · outpatient | $51.70 | $51.70 | $20.00 – $83.40 |
| 4 | Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient | $116.50 | $116.50 | $116.50 – $116.50 |
| 5 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $116.50 | $116.50 | $116.50 – $116.50 |
| 6 | Molina molina mcr fee schedule · outpatient | $116.50 | $116.50 | $116.50 – $116.50 |
| 7 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $116.50 | $116.50 | $116.50 – $116.50 |
| 8 | Optum optum health - all other plans fee schedule · outpatient | $120.00 | $120.00 | $120.00 – $120.00 |
| 9 | Optum optum health mcr adv fee schedule · outpatient | $120.00 | $120.00 | $120.00 – $120.00 |
| 10 | Blue Cross Blue Shield blue cross mcr adv fee schedule · outpatient | $121.16 | $121.16 | $121.16 – $121.16 |
| 11 | Cigna cigna all other - all other plans fee schedule · outpatient | $138.87 | $138.87 | $138.87 – $138.87 |
| 12 | Cigna cigna hmo fee schedule · outpatient | $138.87 | $138.87 | $138.87 – $138.87 |
| 13 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $155.38 | $155.38 | $155.38 – $155.38 |
| 14 | UnitedHealthcare uhc hmo fee schedule · outpatient | $155.38 | $155.38 | $155.38 – $155.38 |
| 15 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $155.38 | $155.38 | $155.38 – $155.38 |
| 16 | Aetna aetna - all plans fee schedule · outpatient | $155.92 | $155.92 | $155.92 – $155.92 |
| 17 | Molina molina exchange - all other plans fee schedule · outpatient | $157.28 | $157.28 | $157.28 – $157.28 |
| 18 | Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient | $257.28 | $257.28 | $257.28 – $257.28 |
| 19 | Blue Cross Blue Shield blue shield non epn fee schedule · outpatient | $271.88 | $271.88 | $271.88 – $271.88 |
| 20 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $338.06 | $338.06 | $338.06 – $338.06 |
| 21 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $338.06 | $338.06 | $338.06 – $338.06 |
| 22 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $394.79 | $394.79 | $394.79 – $394.79 |
| 23 | Blue Cross Blue Shield tricare blue shield - all plans other · outpatient | $394.79 | $394.79 | $394.79 – $394.79 |
| 24 | Molina molina mcr other · outpatient | $394.79 | $394.79 | $394.79 – $394.79 |
| 25 | UnitedHealthcare uhc mcr adv other · outpatient | $394.79 | $394.79 | $394.79 – $394.79 |
Last updated: Jul 30, 2026
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