go back

New Mexico rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.69 / $62.69 / $62.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $96.27 / $358.21
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 / $70.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $127.84 / $191.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $36.59 / $96.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $70.98 / $145.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $56.68 / $85.38