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Utah rates for HCPCS K0069

Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each

Facilitymedian $52 · 10th–90th $5–$810%10%20%10th90th$52Professionalmedian $93 · 10th–90th $12–$4680%10%10th90th$93$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $83.18 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $109.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $117.49 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $117.49 / $134.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $14.13 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $38.90 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $56.23 / $104.71