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Massachusetts rates for HCPCS 64625

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

Facilitymedian $2,754 · 10th–90th $229–$5,3700%5%10%10th90th$2,754Professionalmedian $479 · 10th–90th $191–$1,2590%10%10th90th$479$50.0$200.0$1.0K$5.0K$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
$575.44 / $3,388.44 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $436.52 / $1,071.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,884.03 / $9,120.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $616.60 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $616.60 / $1,230.27
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $741.31 / $1,023.29
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,288.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,884.03 / $9,120.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $616.60 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $602.56 / $1,380.38