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Alaska rates for HCPCS 64451

Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)

Facilitymedian $407 · 10th–90th $87–$4,4670%5%10th90th$407Professionalmedian $224 · 10th–90th $79–$7410%10%10th90th$224$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $208.93 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $229.09 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $309.03 / $1,023.29
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $407.38 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $776.25 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $309.03 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $199.53 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $316.23 / $1,047.13