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Montana rates for HCPCS K0077

Front caster assembly, complete, with solid tire, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $79.43
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $83.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $66.07 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $27.54 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $36.31