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Idaho rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Facilitymedian $158 · 10th–90th $8–$2000%20%10th90th$158Professionalmedian $158 · 10th–90th $8–$1580%50%10th$158$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $158.49 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $158.49 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $60.26