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Arkansas rates for HCPCS 64625

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

Facilitymedian $1,995 · 10th–90th $575–$2,8180%20%10th90th$1,995Professionalmedian $389 · 10th–90th $174–$5890%10%10th90th$389$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
$346.74 / $1,698.24 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $446.68 / $1,023.29
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,238.72 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $446.68 / $851.14