go back

Arizona 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
Facility
Modifier
Low / Median / High Price
$155.36 / $155.36 / $155.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $155.36 / $248.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $171.18 / $423.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.24 / $241.53 / $570.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.36 / $275.20 / $470.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $260.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $144.59 / $240.98