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Nebraska 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
$8.00 / $157.00 / $157.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $33.75 / $42.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $243.35 / $290.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.05 / $242.05 / $242.05