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Oregon 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
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $575.44 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $269.15 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $263.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $549.54
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $281.84 / $512.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $239.88 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $239.88