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Georgia 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
$2,570.40 / $5,623.41 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $416.87 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.03 / $309.03 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$354.81 / $436.52 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $537.03 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $512.86 / $977.24