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 DESTROY NERVE FACE MUSCLE
Falls Church, VA
See all hospitals reporting CPT 64612 →Price type
Inova Fairfax Hospital’s median price of $998 is 154% above the median hospital's median price ($393), higher than 80% 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, 27 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 medicare advantage fee schedule · both | $368.99 | $368.99 | $295.19 – $442.79 |
| 2 | Anthem medicare advantage fee schedule · both | $368.99 | $368.99 | $295.19 – $442.79 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $368.99 | $368.99 | $295.19 – $442.79 |
| 4 | Cigna medicare advantage fee schedule · both | $383.75 | $383.75 | $307.00 – $460.50 |
| 5 | Kaiser medicare advantage fee schedule · both | $383.75 | $383.75 | $307.00 – $460.50 |
| 6 | Kaiser hmo other · both | $392.93 | $392.93 | $314.34 – $471.51 |
| 7 | Kaiser ppo other · both | $392.93 | $392.93 | $314.34 – $471.51 |
| 8 | Humana medicare advantage fee schedule · both | $405.89 | $405.89 | $324.71 – $487.07 |
| 9 | Anthem medicaid advantage fee schedule · both | $721.42 | $721.42 | $577.13 – $865.70 |
| 10 | UnitedHealthcare medicaid advantage fee schedule · both | $735.84 | $735.84 | $588.67 – $883.01 |
| 11 | Humana medicaid advantage fee schedule · both | $750.28 | $750.28 | $600.22 – $900.33 |
| 12 | Aetna medicaid advantage fee schedule · both | $757.49 | $757.49 | $605.99 – $908.99 |
| 13 | Kaiser medicaid advantage fee schedule · both | $793.55 | $793.55 | $634.84 – $952.26 |
| 14 | Anthem exchange hmo fee schedule · both | $875.18 | $875.18 | $700.14 – $1,050 |
| 15 | Anthem hmo fee schedule · both | $1,009 | $1,009 | $807.03 – $1,211 |
| 16 | Anthem ppo fee schedule · both | $1,009 | $1,009 | $807.03 – $1,211 |
| 17 | Carefirst hmo fee schedule · both | $1,304 | $1,304 | $1,043 – $1,565 |
| 18 | Carefirst ppo fee schedule · both | $1,318 | $1,318 | $1,054 – $1,581 |
| 19 | UnitedHealthcare exchange fee schedule · both | $1,434 | $1,434 | $1,147 – $1,721 |
| 20 | UnitedHealthcare nonoptions fee schedule · both | $1,613 | $1,613 | $1,291 – $1,936 |
| 21 | UnitedHealthcare options fee schedule · both | $1,613 | $1,613 | $1,291 – $1,936 |
| 22 | Cigna exchange fee schedule · both | $2,584 | $2,584 | $2,067 – $3,101 |
| 23 | Aetna fannie-mae fee schedule · both | $2,738 | $2,738 | $2,190 – $3,285 |
| 24 | Aetna hmo fee schedule · both | $3,201 | $3,201 | $2,561 – $3,842 |
| 25 | Aetna ppo fee schedule · both | $3,201 | $3,201 | $2,561 – $3,842 |
Last updated: Apr 1, 2026
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