Replacement footplate for wheelchair

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Standard size ftplate rep ea

Payers reporting HCPCS K0042

Payer pricing summary

Low

Average

$38

Median

$35

High

$130

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$38	$33	$14	43%	—	$3 – $155
2	Aetna fee schedule · outpatient · +5 other terms	259	$39	$41	$30	72%	—	$2 – $236
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$39	$30	$15	51%	—	$2 – $51
4	WellCare fee schedule · outpatient · +2 other terms	185	$40	$42	$7	16%	—	$38 – $75
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$40	$45	$19	42%	—	$0 – $122
6	Devoted fee schedule · outpatient · +1 other terms	165	$39	$37	$8	22%	—	$4 – $47
7	Cigna Healthspring fee schedule · outpatient	111	$40	$40	$1	3%	—	$39 – $45
8	Molina fee schedule · outpatient · +3 other terms	96	$48	$44	$25	57%	—	$3 – $110
9	Cigna fee schedule · outpatient · +3 other terms	77	$39	$36	$23	63%	—	$4 – $112
10	Superior Healthplan fee schedule · outpatient	40	$41	$41	$1	1%	—	$41 – $44
11	Anthem fee schedule · outpatient · +5 other terms	38	$39	$28	$15	53%	—	$4 – $44
12	Clover fee schedule · outpatient	34	$40	$40	$2	5%	—	$38 – $44
13	Bcbs Tx fee schedule · outpatient	31	$40	$42	$12	30%	—	$31 – $153
14	Optum fee schedule · outpatient · +2 other terms	28	$39	$31	$20	65%	—	$4 – $97
15	Kaiser fee schedule · outpatient · +3 other terms	27	$39	$27	$15	56%	—	$4 – $44
16	Oscar fee schedule · outpatient	24	$38	$39	$1	3%	—	$38 – $41
17	Medicare fee schedule · outpatient	18	$25	$24	$15	65%	—	$4 – $44
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$47	$46	$2	3%	—	$43 – $50
19	Caresource fee schedule · outpatient · +3 other terms	15	$39	$39	—	—	—	$39 – $39
20	Wellmark fee schedule · both · +1 other terms	13	$18	$18	$15	82%	—	$3 – $34
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$36	$37	$10	26%	—	$18 – $44
22	Bcbs Nj fee schedule · outpatient	12	$38	$82	$55	68%	—	$38 – $167
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$12	$20	$24	122%	—	$12 – $96
24	Highmark fee schedule · outpatient · +3 other terms	10	$25	$26	$22	82%	—	$2 – $106
25	Medica fee schedule · outpatient · +4 other terms	10	$75	$71	$24	34%	—	$6 – $96

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