go back

Illinois 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
$1,047.13 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $2,089.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $5,370.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,548.13 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $2,089.30