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Rhode Island 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
$150.41 / $150.41 / $150.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $172.89 / $233.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.98 / $470.67 / $544.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.83 / $240.98 / $240.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $192.78 / $240.98