go back

New Jersey 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
$201.94 / $201.94 / $201.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $161.83 / $245.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.97 / $360.53 / $481.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.21 / $235.54 / $248.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $144.59 / $215.17