go back

Maine rates for HCPCS K0043

Footrest Lower Extension Tube Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $13.89 / $16.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.70 / $26.92 / $49.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $15.00 / $17.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $15.26 / $22.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $15.26 / $23.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.67 / $18.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $13.89 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $13.37 / $28.52