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Montana rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Facilitymedian $158 · 10th–90th $16–$1780%20%40%10th90th$158Professionalmedian $158 · 10th–90th $10–$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $158.49 / $177.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $85.11