go back

Ohio rates for HCPCS A4634

Replacement bulb for therapeutic light box, tabletop model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $271.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $157.00 / $157.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $25.41 / $40.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00