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Arkansas 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
$1,074.00 / $1,435.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.18 / $1,048.72 / $1,385.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.52 / $1,329.40 / $1,407.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.52 / $2,221.52 / $2,221.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.78 / $1,500.38 / $1,865.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.10 / $1,152.67 / $1,897.55