go back

Missouri rates for HCPCS 27496

Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.08 / $558.07 / $900.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.52 / $626.00 / $933.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.37 / $723.37 / $1,185.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.56 / $837.11 / $8,660.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.15 / $748.86 / $4,107.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.82 / $680.36 / $1,169.42