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Maine rates for HCPCS K0042

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $24.24 / $31.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $43.60 / $80.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $26.34 / $30.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $38.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $39.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $24.24 / $31.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $24.95 / $50.03