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North Dakota rates for HCPCS 64625

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

Facilitymedian $479 · 10th–90th $191–$8,5110%20%10th90th$479Professionalmedian $537 · 10th–90th $200–$1,3490%5%10th90th$537$200.0$500.0$1.0K$2.0K$5.0K

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 / $8,511.38
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
$380.19 / $512.86 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $537.03 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $467.74 / $851.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,000.00 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $537.03 / $1,202.26