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New York 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 / $427.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $427.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $28.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99