go back

Utah rates for HCPCS 27496

Decompression Fasciotomy Thigh&/Knee 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.61 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.10 / $732.61 / $2,869.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.46 / $753.74 / $1,205.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $329.32 / $518.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.93 / $887.68 / $1,278.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.51 / $574.98 / $926.89