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
PR Chemodenervation Muscle(S) Innervated Facial Nerve Unilateral
Boise, ID
See all hospitals reporting CPT 64612 →Price type
Saint Alphonsus Regional Medical Center - Boise’s median price of $97 is 75% below the median hospital's median price ($393), higher than 2% 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: 32 payers, 99 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 medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 2 | Amerihealth Caritas medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 3 | Anthem medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 4 | Blue Cross Blue Shield medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 5 | Carefirst medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 6 | Caresource medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 7 | Cigna medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 8 | Excellus medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 9 | First Health medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 10 | Highmark medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 11 | Humana medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 12 | Kaiser medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 13 | Medicaid medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 14 | Molina medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 15 | Ucare medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 16 | UnitedHealthcare medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 17 | WellCare medicaid professional · fee schedule · both | $46.08 | $46.08 | $36.86 – $55.29 |
| 18 | Aetna medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 19 | Anthem medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 20 | Blue Cross Blue Shield bc medicare advantage professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 21 | Blue Cross Blue Shield medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 22 | Carefirst medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 23 | Caresource medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 24 | Cigna medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
| 25 | Clover medicare professional · fee schedule · both | $60.57 | $60.57 | $48.46 – $72.68 |
Last updated: Mar 31, 2026
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