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Minnesota 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
$178.84 / $178.84 / $178.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.80 / $178.84 / $233.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.76 / $255.32 / $330.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.08 / $306.08 / $306.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.20 / $275.20 / $585.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $144.59 / $471.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $291.02