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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.08 / $914.08 / $5,287.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,952.65 / $9,144.62 / $17,688.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.07 / $1,503.53 / $2,004.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.00 / $2,233.67 / $2,994.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.08 / $1,599.64 / $5,655.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.59 / $2,019.80 / $2,769.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.31 / $2,230.69 / $3,125.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.43 / $2,187.25 / $2,994.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.59 / $2,025.30 / $2,631.75