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Nebraska 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
$96.53 / $96.53 / $96.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.62 / $102.15 / $107.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $143.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.67 / $135.93 / $166.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.76 / $137.22 / $535.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $57.73 / $107.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $14.36 / $27.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $17.72 / $33.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $57.73 / $89.74