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Washington, DC 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
$1,049.34 / $4,004.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.34 / $1,049.34 / $1,049.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.01 / $1,194.45 / $3,430.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.87 / $1,814.26 / $2,801.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.30 / $2,312.34 / $2,312.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.85 / $1,942.95 / $2,799.62