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Minnesota rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $157.00 / $157.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $157.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.97 / $11.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.97 / $1.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.38 / $104.49 / $242.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $42.19 / $44.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $95.76 / $228.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $33.75 / $40.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $157.00 / $265.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.05 / $242.05 / $242.05