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Vermont rates for HCPCS 64625

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

Facilitymedian $4,074 · 10th–90th $4,074–$4,0740%50%100%$4,074Professionalmedian $575 · 10th–90th $224–$1,1750%10%10th90th$575$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $489.78 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $724.44 / $1,230.27