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Vermont 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 / $24.71 / $24.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $31.61 / $31.61
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 / $25.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $25.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $30.97 / $38.25