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 Rt
Ypsilanti, MI
See all hospitals reporting CPT 64612 →Price type
St Joseph Mercy Ann Arbor’s median price of $372 is 5% below the median hospital's median price ($393), higher than 46% 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: 20 payers, 30 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 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $171.45 | $171.45 | $171.45 – $171.45 |
| 2 | Molina molina medicaid facility · other · both | $174.81 | $174.81 | $174.81 – $174.81 |
| 3 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $207.62 | $207.62 | $207.62 – $207.62 |
| 4 | Aetna aetna medicare advantage facility · other · both | $300.87 | $300.87 | $300.87 – $300.87 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $300.87 | $300.87 | $300.87 – $300.87 |
| 6 | Molina molina medicare advantage facility · other · both | $300.87 | $300.87 | $300.87 – $300.87 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $316.22 | $316.22 | $316.22 – $316.22 |
| 8 | Anthem bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 9 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 10 | Carefirst bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 11 | Excellus bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 12 | Highmark bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 13 | Kaiser bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 14 | Premera bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 15 | Regence bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 16 | Wellmark bcbs trad / trust facility · fee schedule · both | $339.02 | $339.02 | $339.02 – $339.02 |
| 17 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $300.00 | $350.00 | $300.00 – $450.00 |
| 18 | Molina molina hmo marketplace facility · other · both | $399.12 | $399.12 | $399.12 – $399.12 |
| 19 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $374.40 | $436.80 | $374.40 – $561.60 |
| 20 | Caresource hap hmo facility · fee schedule · both | $451.54 | $451.54 | $451.54 – $451.54 |
| 21 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $447.20 | $521.73 | $447.20 – $670.80 |
| 22 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $585.60 | $683.20 | $585.60 – $878.40 |
| 23 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $616.00 | $718.67 | $616.00 – $924.00 |
| 24 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $616.00 | $718.67 | $616.00 – $924.00 |
| 25 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $616.00 | $718.67 | $616.00 – $924.00 |
Last updated: Mar 31, 2026
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