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Kansas rates for HCPCS 64625

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

Facilitymedian $4,786 · 10th–90th $589–$10,4710%5%10th90th$4,786Professionalmedian $417 · 10th–90th $191–$7080%5%10%10th90th$417$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
$588.84 / $5,495.41 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $407.38 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $501.19 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $891.25 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $724.44 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,041.74 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $489.78 / $724.44