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Illinois 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
$159.65 / $159.65 / $242.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $159.65 / $248.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.55 / $1,592.64 / $3,189.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.69 / $206.41 / $206.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $672.92 / $674.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.01 / $385.29 / $404.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $144.59 / $240.98