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Tennessee 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
$896.62 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.15 / $1,041.08 / $1,620.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,271.00 / $3,470.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.68 / $1,303.86 / $2,104.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.34 / $1,395.48 / $2,170.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,924.36 / $7,069.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,269.92 / $7,421.44 / $8,666.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.04 / $1,143.08 / $2,160.29