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Iowa 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
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.10 / $1,518.63 / $1,581.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.00 / $2,246.92 / $2,808.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.34 / $1,435.66 / $3,678.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.55 / $2,289.51 / $5,264.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.57 / $1,978.79 / $7,421.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.00 / $2,230.69 / $2,994.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.06 / $2,230.69 / $2,994.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.72 / $1,531.01 / $2,851.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.93 / $1,967.00 / $2,314.10