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Mississippi rates for HCPCS 64625

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,819.70 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $446.68 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $630.96 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,454.71 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $501.19 / $1,096.48