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New Hampshire 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
$100.00 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.96 / $1,048.72 / $1,325.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.42 / $1,700.10 / $2,534.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.33 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.45 / $1,902.00 / $2,971.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.97 / $1,862.03 / $3,503.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.29 / $1,501.21 / $3,052.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.68 / $878.55 / $1,118.15