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North Carolina 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
$1,202.26 / $3,801.89 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,570.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,905.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $2,041.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $6,918.31 / $6,918.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $8,709.64