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Why does medical Botox cost more than cosmetic Botox?

silvertwinkie
I have Botox injections for a hemifacial spasm. My insurance no longer pays for the Botox so I began asking questions. Apparently, Botox can only be supplied for medical applications in 100 unit vials. My doctor uses less than 30 units, but I pay for 100 and the rest is disposed of. Why can smaller vials (50 units) be supplied for cosmetic procedures only? Do any neurologists charge per unit? Maybe insurance paid procedures are not questioned?

Answers (4)

From board-certified doctors and trusted medical professionals
Answer
Dr. Alix J. Charles, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answer
Douglas Taranow, DO, FACOS profile photo
Dr. Douglas Taranow, DO, FACOS
Board Certified Plastic Surgeon
4.9 | 199 Reviews
Answer
Dr. Melvin Elson, MD
Board Certified Dermatologist
Answer

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