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Wisconsin 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 $2,818 · 10th–90th $224$5,6230%10%10th90th$2,818Professionalmedian $219 · 10th–90th $79$6310%5%10%10th90th$219$50.0$200.0$1.0K$5.0K

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
$75.86 / $213.80 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $199.53 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$218.78 / $218.78 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $302.00 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $354.81 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $263.03 / $3,388.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $251.19 / $630.96
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$223.87 / $380.19 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $309.03 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $407.38 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $281.84 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $316.23 / $794.33
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $562.34 / $1,905.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $831.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $245.47 / $724.44