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South Dakota 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
$23.18 / $51.45 / $62.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.77 / $55.77 / $83.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $83.01 / $93.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.23 / $93.56 / $304.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $52.86 / $67.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $8.28 / $8.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $15.66 / $85.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $56.09 / $67.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $67.91 / $67.91