go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$1,158.89 / $1,158.89 / $1,190.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.19 / $1,698.23 / $2,263.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.10 / $1,504.63 / $2,263.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.00 / $1,421.48 / $4,132.33