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Minnesota rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Facilitymedian $89 · 10th–90th $8–$2140%5%10th90th$89Professionalmedian $2 · 10th–90th $2–$1580%50%10th90th$2$2.0$5.0$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
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $8.13 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $37.15 / $42.66
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $100.00 / $213.80
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $45.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88