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Alaska rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $158.49 / $158.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $158.49 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $60.26