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Kansas 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
$275.60 / $275.60 / $275.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $161.61 / $275.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.70 / $350.70 / $350.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.65 / $275.20 / $392.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $1,409.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $240.98