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New Mexico 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
$18.07 / $24.23 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.01 / $3.72
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 / $24.94 / $29.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $27.96 / $59.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $20.47 / $30.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $29.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $19.96 / $32.51