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Illinois rates for HCPCS K0077

Front Caster Assembly Complete With Solid Tire Replacement Only Each (Desc Rvsd 1/1/17)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $40.00 / $62.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $42.49 / $83.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $43.76 / $74.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $6.66 / $10.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $56.51 / $56.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $37.07 / $81.34