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Maine rates for HCPCS K0069

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $78.06 / $88.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.26 / $130.74 / $242.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.90 / $81.90 / $90.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $115.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.67 / $74.67 / $95.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $90.66 / $90.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $73.62 / $88.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $68.43 / $183.40