go back

Oklahoma 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
$127.65 / $127.65 / $127.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.65 / $142.79 / $162.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $240.98 / $240.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.65 / $162.46 / $481.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $1,409.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $240.98