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Mississippi rates for HCPCS A4238

Supply Allowance For Adjunctive Non-Implanted Continuous Glucose Monitor (Cgm) Includes All Supplies And Accessories 1 Month Supply = 1 Unit Of Service (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.78 / $210.78 / $217.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.74 / $210.78 / $245.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.95 / $261.95 / $261.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $284.60