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Georgia rates for HCPCS 64625

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

Facilitymedian $4,571 · 10th–90th $1,202–$7,4130%10%10th90th$4,571Professionalmedian $407 · 10th–90th $186–$7080%5%10%10th90th$407$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
$2,570.40 / $5,623.41 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $407.38 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,019.95 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $436.52 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $512.86 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $537.03 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,890.45 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $512.86 / $977.24