go back

Michigan 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
$28.91 / $28.91 / $28.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $28.91 / $29.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $136.29 / $181.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $26.96 / $51.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $20.32 / $28.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $22.70 / $35.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $28.69 / $32.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $27.62 / $39.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $17.78 / $28.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $19.51 / $28.82