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Colorado rates for HCPCS 64625

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

Facilitymedian $5,248 · 10th–90th $468–$10,4710%5%10%10th90th$5,248Professionalmedian $417 · 10th–90th $191–$7240%10%10th90th$417$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$288.40 / $3,235.94 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $436.52 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,456.54 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $309.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $501.19 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $741.31 / $3,630.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $467.74 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $467.74 / $977.24