go back

Iowa rates for HCPCS 64625

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

Facilitymedian $4,467 · 10th–90th $468–$7,0790%10%10th90th$4,467Professionalmedian $479 · 10th–90th $191–$1,1750%10%10th90th$479$100.0$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
$281.84 / $4,570.88 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $478.63 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $977.24 / $1,659.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $616.60 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,288.25 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,011.87 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $537.03 / $1,122.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $1,047.13