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Pennsylvania rates for HCPCS 27497

Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve

Facilitymedian $4,786 · 10th–90th $1,047–$8,3180%10%10th90th$4,786Professionalmedian $603 · 10th–90th $513–$1,0960%50%10th90th$603$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $1,047.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $1,148.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $1,148.15
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,630.78 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $891.25 / $1,230.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $645.65 / $645.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $602.56 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $1,148.15