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New Hampshire 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
$18.45 / $21.50 / $21.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.84 / $37.84 / $37.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $24.94 / $29.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $84.86 / $107.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $19.34 / $20.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $34.90 / $44.42