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New Mexico 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
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.10 / $1,023.13 / $4,160.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.02 / $1,401.38 / $1,820.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,463.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.45 / $1,116.11 / $1,411.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.39 / $1,456.62 / $2,487.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.47 / $1,378.16 / $2,060.57