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New Jersey rates for HCPCS 64625

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

Facilitymedian $7,244 · 10th–90th $4,365–$11,4820%10%10th90th$7,244Professionalmedian $457 · 10th–90th $178–$1,1750%10%10th90th$457$100.0$500.0$2.0K$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
$4,365.16 / $7,413.10 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $436.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $537.03 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,025.60 / $10,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $501.19 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $467.74 / $1,000.00