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Florida rates for HCPCS 64625

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

Facilitymedian $5,495 · 10th–90th $1,148–$10,9650%10%10th90th$5,495Professionalmedian $407 · 10th–90th $174–$6920%10%10th90th$407$50.0$200.0$1.0K$5.0K$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
$1,047.13 / $5,248.07 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $407.38 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $4,073.80 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $407.38 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $912.01 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $426.58 / $831.76
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,309.57 / $11,748.98
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $199.53 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,495.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $354.81 / $512.86