go back

North Dakota 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
Professional
Modifier
Low / Median / High Price
$37.19 / $44.96 / $49.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.32 / $59.32 / $68.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $34.09 / $42.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $157.00 / $266.89