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New Jersey 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
$972.88 / $5,244.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.74 / $977.23 / $1,698.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.29 / $1,399.49 / $3,012.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.47 / $1,429.06 / $1,617.37
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.85 / $3,890.91 / $8,437.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,225.82 / $2,344.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.43 / $1,295.52 / $3,010.97