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Wyoming rates for HCPCS 64625

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $478.63 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $758.58 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$588.84 / $1,148.15 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $501.19 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,630.27 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $676.08 / $1,548.82