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Utah 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00