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Rhode Island 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
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.45 / $1,218.60 / $1,518.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.03 / $1,205.58 / $1,830.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.81 / $1,499.53 / $2,094.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.10 / $1,451.98 / $2,076.62