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Utah 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
$13.94 / $13.94 / $107.15
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 / $43.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $24.58 / $35.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $18.53 / $30.97