go back

Minnesota rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $467.74 / $891.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $125.89 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $56.23 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $154.88