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Michigan 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
$93.09 / $93.09 / $93.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $90.99 / $93.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.13 / $423.57 / $564.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.17 / $88.20 / $158.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $68.06 / $87.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $70.56 / $111.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $74.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.67 / $87.53 / $98.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $93.09 / $139.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $30.00 / $87.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.90 / $64.40 / $83.94