go back

Massachusetts rates for HCPCS L3450

Heel Sach Cushion Type (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.24 / $54.24 / $54.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $59.80 / $79.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $258.11 / $592.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $88.85 / $121.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $70.98 / $147.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $100.52 / $105.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $46.07 / $46.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.11 / $592.25 / $592.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $61.94 / $121.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $66.34 / $121.25