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
DESTROY NERVE FACE MUSCLE
Monticello, IL
See all hospitals reporting CPT 64612 →Price type
Kirby Medical Center’s median price of $109 is 72% below the median hospital's median price ($393), higher than 4% 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, 13 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 Better Health managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $79.13 | $79.13 | $79.13 – $79.13 |
| 2 | Bcbs Il managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $79.13 | $79.13 | $79.13 – $79.13 |
| 3 | Molina managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $83.09 | $83.09 | $83.09 – $83.09 |
| 4 | Bcbs Il medicare-medicaid plan/blue cross community mmai professional · fee schedule · both | $87.26 | $87.26 | $87.26 – $87.26 |
| 5 | Aetna medicare advantage/hmo/ppo professional · fee schedule · both | $109.08 | $109.08 | $109.08 – $109.08 |
| 6 | Bcbs Il medicare advantage/hmo/ppo professional · fee schedule · both | $109.08 | $109.08 | $109.08 – $109.08 |
| 7 | UnitedHealthcare medicare advantage/hmo/ppo professional · fee schedule · both | $109.08 | $109.08 | $109.08 – $109.08 |
| 8 | UnitedHealthcare va community care network professional · fee schedule · both | $109.08 | $109.08 | $109.08 – $109.08 |
| 9 | WellCare medicare advantage/hmo/ppo professional · fee schedule · both | $109.08 | $109.08 | $109.08 – $109.08 |
| 10 | Molina medicare-medicaid plan/molina dual options mmai professional · fee schedule · both | $112.35 | $112.35 | $112.35 – $112.35 |
| 11 | Aetna commercial/hmo/ppo professional · fee schedule · both | $151.25 | $151.25 | $151.25 – $151.25 |
| 12 | Humana ppo professional · fee schedule · both | $159.44 | $159.44 | $159.44 – $159.44 |
| 13 | UnitedHealthcare hmo/ppo professional · fee schedule · both | $249.18 | $249.18 | $249.18 – $249.18 |
Last updated: Jun 11, 2026
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