go back

Pennsylvania 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
$46.31 / $61.52 / $77.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $89.40 / $111.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $92.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $74.67 / $160.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.19 / $102.19 / $111.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.19 / $83.19 / $83.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $62.79 / $82.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $92.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $74.67 / $160.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $111.75 / $116.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $65.05 / $110.75