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
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil
Towson, MD
See all hospitals reporting CPT 64612 →Price type
Greater Baltimore Medical Center’s median price of $149 is 62% below the median hospital's median price ($393), higher than 9% 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, 50 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 pb aetna better health of maryland professional · fee schedule · inpatient | $125.45 | $125.45 | $125.45 – $125.45 |
| 2 | Medicaid pb medicaid facility and non facility professional · fee schedule · inpatient | $125.45 | $125.45 | $125.45 – $125.45 |
| 3 | UnitedHealthcare pb united community care reimbursement contract professional · fee schedule · inpatient | $125.45 | $125.45 | $125.45 – $125.45 |
| 4 | Carefirst pb carefirst medicare advantage ppo professional · fee schedule · inpatient | $128.77 | $128.77 | $128.77 – $128.77 |
| 5 | Cigna pb cigna healthspring-medicare professional · fee schedule · inpatient | $128.77 | $128.77 | $128.77 – $128.77 |
| 6 | Humana pb humana medicare advantage professional · fee schedule · inpatient | $128.77 | $128.77 | $128.77 – $128.77 |
| 7 | Medicare pb medicare reimbursement professional · fee schedule · inpatient | $128.77 | $128.77 | $128.77 – $128.77 |
| 8 | UnitedHealthcare pb united medicare fac and non facility professional · fee schedule · inpatient | $128.77 | $128.77 | $128.77 – $128.77 |
| 9 | Aetna pb aetna commercial reimbursement contract professional · fee schedule · inpatient | $134.12 | $134.12 | $134.12 – $134.12 |
| 10 | Aetna pb aetna better health of maryland professional · fee schedule · both | $144.50 | $144.50 | $144.50 – $144.50 |
| 11 | Aetna pb aetna better health of maryland professional · fee schedule · outpatient | $144.50 | $144.50 | $144.50 – $144.50 |
| 12 | Medicaid pb medicaid facility and non facility professional · fee schedule · both | $144.50 | $144.50 | $144.50 – $144.50 |
| 13 | Medicaid pb medicaid facility and non facility professional · fee schedule · outpatient | $144.50 | $144.50 | $144.50 – $144.50 |
| 14 | UnitedHealthcare pb united community care reimbursement contract professional · fee schedule · both | $144.50 | $144.50 | $144.50 – $144.50 |
| 15 | UnitedHealthcare pb united community care reimbursement contract professional · fee schedule · outpatient | $144.50 | $144.50 | $144.50 – $144.50 |
| 16 | Carefirst pb carefirst medicare advantage ppo professional · fee schedule · both | $148.86 | $148.86 | $148.86 – $148.86 |
| 17 | Carefirst pb carefirst medicare advantage ppo professional · fee schedule · outpatient | $148.86 | $148.86 | $148.86 – $148.86 |
| 18 | Cigna pb cigna healthspring-medicare professional · fee schedule · both | $148.86 | $148.86 | $148.86 – $148.86 |
| 19 | Cigna pb cigna healthspring-medicare professional · fee schedule · outpatient | $148.86 | $148.86 | $148.86 – $148.86 |
| 20 | Humana pb humana medicare advantage professional · fee schedule · both | $148.86 | $148.86 | $148.86 – $148.86 |
| 21 | Humana pb humana medicare advantage professional · fee schedule · outpatient | $148.86 | $148.86 | $148.86 – $148.86 |
| 22 | Medicare pb medicare reimbursement professional · fee schedule · both | $148.86 | $148.86 | $148.86 – $148.86 |
| 23 | Medicare pb medicare reimbursement professional · fee schedule · outpatient | $148.86 | $148.86 | $148.86 – $148.86 |
| 24 | UnitedHealthcare pb united medicare fac and non facility professional · fee schedule · both | $148.86 | $148.86 | $148.86 – $148.86 |
| 25 | UnitedHealthcare pb united medicare fac and non facility professional · fee schedule · outpatient | $148.86 | $148.86 | $148.86 – $148.86 |
Last updated: Jul 1, 2026
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