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Indiana rates for HCPCS K0069

Rear Wheel Assembly Complete With Solid Tire Spokes Or Molded Replacement Only Each (Desc Rvsd 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.63 / $75.63 / $75.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $75.63 / $77.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.90 / $105.25 / $117.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $102.79 / $135.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $90.76 / $157.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $89.00 / $146.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $74.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $74.67 / $143.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.78 / $60.53 / $94.18