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Idaho rates for HCPCS K0042

Standard Size Footplate Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.60 / $32.60 / $32.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.60 / $41.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $27.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $24.94 / $39.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.68 / $24.23 / $37.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $33.57 / $37.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $26.87 / $27.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.42 / $36.42 / $60.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $19.96 / $54.18