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Missouri 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
$112.22 / $265.14 / $265.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $151.16 / $265.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.28 / $240.98 / $298.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.29 / $265.14 / $641.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $144.59 / $1,409.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $260.74