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Massachusetts 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
$172.89 / $172.89 / $172.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $172.89 / $233.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.95 / $277.67 / $1,506.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $192.78 / $1,409.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.30 / $377.62 / $484.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.40 / $236.40 / $255.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.95 / $261.95 / $261.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.22 / $257.22 / $257.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.58 / $527.58 / $1,506.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.38 / $192.78 / $1,409.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.54 / $165.13 / $398.19