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Alaska rates for HCPCS A4238

Supply allowance for adjunctive, nonimplanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.24 / $334.24 / $334.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.08 / $334.24 / $467.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.45 / $261.45 / $261.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.08 / $334.24 / $467.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $322.51 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $722.94