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Indiana 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
$214.77 / $214.77 / $214.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $159.65 / $214.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $375.00 / $375.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.85 / $318.31 / $385.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.75 / $302.73 / $367.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $240.98