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Nebraska 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
$208.07 / $208.07 / $208.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.36 / $208.07 / $229.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.31 / $266.06 / $268.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $440.33 / $708.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.07 / $351.64 / $416.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $144.59 / $306.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.70 / $362.83 / $708.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $353.63 / $708.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $144.59 / $240.98