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Maryland 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
Professional
Modifier
Low / Median / High Price
$145.19 / $207.29 / $269.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.44 / $213.44 / $213.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.27 / $369.30 / $429.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $240.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.93 / $268.76 / $268.76