search again

Nationwide rates for HCPCS 64625

Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $4,570.88 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $426.58 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$478.63 / $478.63 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,248.07 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $794.33
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $446.68 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,122.02 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $549.54 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $478.63 / $977.24