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Arizona rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $157.00 / $157.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $15.20 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.70 / $17.27 / $157.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $242.05