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Utah 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
$38.22 / $38.22 / $327.78
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 / $128.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $74.96 / $108.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $56.68 / $84.93