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Louisiana 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
$158.33 / $195.05 / $207.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.36 / $195.05 / $218.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.87 / $170.63 / $170.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.34 / $189.34 / $189.34
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