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Alaska rates for HCPCS 27057

Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,902.88 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.96 / $4,923.38 / $4,923.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.84 / $3,345.32 / $4,314.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.06 / $4,923.38 / $6,892.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.55 / $2,974.26 / $6,038.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,642.50 / $5,036.16 / $6,084.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.06 / $4,923.38 / $6,892.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.13 / $4,977.60 / $6,439.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.92 / $4,683.46 / $5,887.77