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Louisiana 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
$646.00 / $1,524.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.45 / $1,323.40 / $1,788.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.81 / $3,108.45 / $6,823.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.29 / $1,312.14 / $1,716.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $898.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.00 / $1,802.00 / $1,802.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.71 / $1,346.87 / $1,911.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,420.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.20 / $1,109.54 / $1,914.49