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Utah rates for HCPCS K0042

Standard size footplate, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.92 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $38.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.57 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $12.88 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $18.62 / $33.11