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Missouri 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
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.15 / $1,020.67 / $1,589.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.45 / $1,126.30 / $1,803.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.11 / $1,332.19 / $2,210.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.57 / $1,398.32 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.16 / $1,355.01 / $7,421.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,829.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.03 / $1,268.04 / $2,173.03