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Idaho rates for HCPCS K0069

Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.28 / $94.28 / $94.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $94.28 / $132.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $88.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $74.67 / $95.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $72.41 / $132.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $102.50 / $137.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.37 / $93.74 / $96.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.01 / $111.01 / $191.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $61.40 / $171.86