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Texas 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
$803.00 / $2,673.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.10 / $1,023.13 / $1,592.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.84 / $2,236.39 / $4,472.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.79 / $1,178.15 / $1,605.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $898.07 / $918.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.33 / $1,143.33 / $1,143.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.06 / $1,318.84 / $1,997.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,924.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,269.92 / $7,421.44 / $8,666.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.98 / $1,154.81 / $1,902.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.28 / $1,487.13 / $1,844.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.25 / $1,725.97 / $3,755.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.98 / $1,200.83 / $2,027.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.19 / $1,351.51 / $2,075.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.53 / $1,091.15 / $1,678.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.15 / $962.34 / $1,333.14