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Oklahoma rates for HCPCS 64625

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

Facilitymedian $4,467 · 10th–90th $1,148–$7,9430%10%10th90th$4,467Professionalmedian $417 · 10th–90th $174–$6610%10%10th90th$417$100.0$500.0$2.0K$10.0K$50.0K

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
$1,000.00 / $2,630.27 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $398.11 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,623.41 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $467.74 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $478.63 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,380.38 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $588.84 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,884.03 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $676.08