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Hawaii 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
$135.66 / $142.79 / $249.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.75 / $324.75 / $324.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $361.47