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Massachusetts 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
$19.17 / $19.17 / $19.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $19.17 / $29.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.73 / $76.81 / $177.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $35.46 / $37.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $32.81 / $32.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $33.20 / $33.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $25.00 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $24.94 / $54.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $17.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.81 / $177.61 / $177.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $20.20 / $33.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.13 / $40.86