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Wyoming rates for HCPCS 64625

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

Facilitymedian $3,981 · 10th–90th $2,630–$10,9650%20%40%10th90th$3,981Professionalmedian $708 · 10th–90th $316–$1,5490%10%20%10th90th$708$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $478.63 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $758.58 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$588.84 / $1,148.15 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $645.65 / $1,548.82