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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $12.62 / $16.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $170.67 / $368.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.05 / $242.05 / $242.05