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Wisconsin rates for HCPCS K0077

Front Caster Assembly Complete With Solid Tire Replacement Only Each (Desc Rvsd 1/1/17)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $40.96 / $54.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.59 / $121.21 / $121.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $61.96 / $89.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $44.35 / $142.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $42.49 / $172.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $74.63 / $93.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $65.79 / $94.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.08 / $47.08 / $98.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $94.58 / $304.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $39.32 / $83.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $65.79 / $94.58
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.08 / $47.08 / $98.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $14.20 / $18.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.32 / $129.36 / $304.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $42.49 / $55.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $76.17 / $76.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $76.17 / $76.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $38.22 / $79.29