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Maine 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
$43.36 / $45.18 / $52.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.87 / $67.43 / $125.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $47.75 / $51.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $42.49 / $67.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $42.49 / $51.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $46.76 / $46.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $43.36 / $52.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $34.92 / $87.84