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
C CHEMODENERVATION OF MUSCLE INNERVATED BY FACIAL NERVE, UNILATERAL
Spokane, WA
See all hospitals reporting CPT 64612 →Price type
MultiCare Deaconess Hospital’s median price of $620 is 58% above the median hospital's median price ($393), higher than 68% 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: 12 payers, 22 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 | Molina apple health fee schedule · outpatient | $297.40 | $297.40 | $297.40 – $297.40 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $306.15 | $306.15 | $306.15 – $306.15 |
| 3 | Aetna medadvantage fee schedule · outpatient | $345.27 | $345.27 | $345.27 – $345.27 |
| 4 | Bcbs Id medadvantage fee schedule · outpatient | $345.27 | $345.27 | $345.27 – $345.27 |
| 5 | Regence medadvantage fee schedule · outpatient | $345.27 | $345.27 | $345.27 – $345.27 |
| 6 | UnitedHealthcare medadvantage fee schedule · outpatient | $348.62 | $348.62 | $348.62 – $348.62 |
| 7 | Molina medadvantage fee schedule · outpatient | $351.97 | $351.97 | $351.97 – $351.97 |
| 8 | WellCare medadvantage fee schedule · outpatient | $351.97 | $351.97 | $351.97 – $351.97 |
| 9 | Premera hmo fee schedule · outpatient | $494.29 | $494.29 | $494.29 – $494.29 |
| 10 | Ambetter coordinated care exchange fee schedule · outpatient | $620.14 | $620.14 | $620.14 – $620.14 |
| 11 | Regence commercial fee schedule · outpatient | $804.69 | $804.69 | $804.69 – $804.69 |
| 12 | Premera other commercial plans fee schedule · outpatient | $861.15 | $861.15 | $861.15 – $861.15 |
| 13 | Premera prime fee schedule · outpatient | $861.15 | $861.15 | $861.15 – $861.15 |
| 14 | Premera signature fee schedule · outpatient | $861.15 | $861.15 | $861.15 – $861.15 |
| 15 | Aetna all commercial plans fee schedule · outpatient | $864.37 | $864.37 | $864.37 – $864.37 |
| 16 | UnitedHealthcare commercial fee schedule · outpatient | $952.44 | $952.44 | $952.44 – $952.44 |
| 17 | Cigna commercial fee schedule · outpatient | $964.07 | $964.07 | $964.07 – $964.07 |
| 18 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $1,189 | $1,189 | $1,189 – $1,189 |
| 19 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $1,189 | $1,189 | $1,189 – $1,189 |
| 20 | Kaiser ppo fee schedule · outpatient | $1,213 | $1,213 | $1,213 – $1,213 |
| 21 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $1,222 | $1,222 | $1,222 – $1,222 |
| 22 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $1,222 | $1,222 | $1,222 – $1,222 |
Last updated: Aug 27, 2026
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