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New York 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
$169.82 / $199.53 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $467.74 / $1,071.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $562.34
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $263.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $275.42
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03