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Idaho rates for HCPCS A4238

Supply Allowance For Adjunctive Non-Implanted Continuous Glucose Monitor (Cgm) Includes All Supplies And Accessories 1 Month Supply = 1 Unit Of Service (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.13 / $241.13 / $241.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $243.45 / $362.58
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
$243.45 / $311.62 / $464.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.45 / $261.45 / $275.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $426.58 / $481.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $240.98