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 Chemodenervation Muscle(S) Facial Lt
Westerville, OH
See all hospitals reporting CPT 64612 →Price type
Mount Carmel St Ann's’s median price of $375 is 4% 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: 21 payers, 38 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 aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $210.58 | $245.75 | $210.58 – $316.10 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $219.02 | $255.60 | $219.02 – $328.77 |
| 3 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $239.80 | $279.85 | $239.80 – $359.96 |
| 4 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $239.80 | $279.85 | $239.80 – $359.96 |
| 5 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $247.16 | $288.44 | $247.16 – $371.01 |
| 6 | Aetna aetna medicare advantage facility · other · both | $290.05 | $290.05 | $290.05 – $290.05 |
| 7 | Anthem anthem bcbs medicare advantage facility · other · both | $290.05 | $290.05 | $290.05 – $290.05 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $295.85 | $295.85 | $295.85 – $295.85 |
| 9 | Medical Mutual medical mutual medicare advantage facility · other · both | $295.97 | $295.97 | $295.97 – $295.97 |
| 10 | Aetna aetna better health medicare advantage facility · other · both | $304.55 | $304.55 | $304.55 – $304.55 |
| 11 | Molina molina medicare advantage facility · other · both | $304.55 | $304.55 | $304.55 – $304.55 |
| 12 | Caresource caresource medicare advantage facility · other · both | $304.85 | $304.85 | $304.85 – $304.85 |
| 13 | Anthem anthem bcbs pathway hmo hx facility · other · both | $363.56 | $363.56 | $363.56 – $363.56 |
| 14 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $342.37 | $399.55 | $342.37 – $513.92 |
| 15 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $372.06 | $434.20 | $372.06 – $558.48 |
| 16 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $374.73 | $437.32 | $374.73 – $562.50 |
| 17 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $374.73 | $437.32 | $374.73 – $562.50 |
| 18 | Oscar oscar facility · other · both | $488.35 | $488.35 | $488.35 – $488.35 |
| 19 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $469.00 | $547.33 | $469.00 – $704.00 |
| 20 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $469.00 | $547.33 | $469.00 – $704.00 |
| 21 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $469.00 | $547.33 | $469.00 – $704.00 |
| 22 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $469.00 | $547.33 | $469.00 – $704.00 |
| 23 | Medical Mutual medical mutual medflex facility · other · both | $727.30 | $727.30 | $727.30 – $727.30 |
| 24 | Anthem anthem bcbs pathway grp hmo facility · other · both | $918.34 | $918.34 | $918.34 – $918.34 |
| 25 | Medical Mutual medical mutual supermed ppo pos hmo facility · other · both | $1,053 | $1,053 | $1,053 – $1,053 |
Last updated: Mar 31, 2026
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