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New Hampshire 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
$58.70 / $64.59 / $64.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.46 / $113.46 / $113.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $90.95 / $96.98
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 / $88.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $254.49 / $322.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $64.26 / $84.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.20 / $107.69 / $137.06