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South Carolina rates for HCPCS K0069

Rear Wheel Assembly Complete With Solid Tire Spokes Or Molded Replacement Only Each (Desc Rvsd 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $65.47 / $82.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.50 / $108.00 / $158.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.43 / $74.67 / $92.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $74.67 / $98.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.51 / $82.86 / $172.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $54.07 / $72.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $61.40 / $89.93