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New Mexico 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 / $24.99 / $24.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.70 / $15.70 / $157.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99