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New Hampshire 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 / $35.51 / $35.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.52 / $58.52 / $58.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $51.67 / $55.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $42.49 / $55.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $42.49 / $51.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $131.26 / $166.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $31.72 / $47.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.48 / $61.47 / $78.23