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Utah 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
$22.51 / $22.51 / $191.48
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 / $74.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $45.30 / $65.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $31.72 / $50.02