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North Carolina 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
$242.83 / $242.83 / $242.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.78 / $242.83 / $242.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.60 / $206.41 / $248.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.83 / $253.07 / $376.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.07 / $253.07 / $253.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.50 / $373.50 / $373.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $144.59 / $240.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.88 / $527.58 / $1,506.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.81 / $2,322.38 / $2,322.38