go back

Louisiana rates for HCPCS 64625

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

Facilitymedian $2,692 · 10th–90th $741–$5,2480%5%10%10th90th$2,692Professionalmedian $468 · 10th–90th $195–$7410%10%10th90th$468$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
$707.95 / $2,570.40 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $467.74 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,951.21 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $724.44
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,511.89 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $457.09 / $870.96