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North Dakota 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
$229.21 / $229.21 / $229.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.65 / $178.84 / $229.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.64 / $304.24 / $335.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.21 / $331.95 / $495.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $144.59 / $275.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $120.49 / $275.20