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Maine rates for HCPCS K0042

Standard size footplate, replacement only, each

Facilitymedian $25 · 10th–90th $3–$470%10%20%10th90th$25Professionalmedian $27 · 10th–90th $22–$330%20%10th90th$27$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $46.77 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $33.11 / $33.11
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $21.38 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $33.11 / $45.71