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California 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
$142.79 / $151.16 / $151.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $151.16 / $248.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $209.73 / $354.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $375.00 / $375.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $189.39 / $738.70
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.16 / $365.16 / $365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $309.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.60 / $1,453.18 / $1,506.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.81 / $1,409.81 / $2,322.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.44 / $348.31 / $507.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $322.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $406.42