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Minnesota rates for HCPCS 64625

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

Facilitymedian $3,548 · 10th–90th $479$10,9650%5%10th90th$3,548Professionalmedian $832 · 10th–90th $355$1,9500%5%10th90th$832$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
$190.55 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $407.38 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,570.88 / $7,413.10 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $776.25 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$549.54 / $1,122.02 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $870.96 / $1,995.26
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $3,311.31
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $812.83 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $707.95 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,071.52 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $691.83 / $1,659.59