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West Virginia rates for HCPCS 64625

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

Facilitymedian $417 · 10th–90th $178–$2,2910%20%10th90th$417Professionalmedian $398 · 10th–90th $174–$6610%10%20%10th90th$398$50.0$100.0$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
$177.83 / $416.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $398.11 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $562.34 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $363.08 / $776.25