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Maine 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
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,238.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,570.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $2,187.76