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Massachusetts rates for HCPCS K0077

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.93 / $35.93 / $35.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $35.93 / $43.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.88 / $100.00 / $304.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $56.82 / $60.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.01 / $53.01 / $53.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.36 / $51.36 / $51.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $42.49 / $55.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $42.49 / $93.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $46.76 / $46.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $33.09 / $33.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $304.95 / $304.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $37.65 / $54.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $37.65 / $60.02