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South Carolina 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
$21.57 / $21.57 / $26.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $39.59 / $49.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $24.94 / $26.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $24.94 / $32.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $26.13 / $54.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $16.99 / $22.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $19.34 / $28.69