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Maine 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
$172.89 / $181.65 / $223.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $240.98 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.22 / $257.22 / $257.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.84 / $181.65 / $189.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $144.59 / $421.72