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South Carolina rates for HCPCS A4238

Supply Allowance For Adjunctive Non-Implanted Continuous Glucose Monitor (Cgm) Includes All Supplies And Accessories 1 Month Supply = 1 Unit Of Service (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.79 / $199.79 / $199.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.36 / $199.79 / $242.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.38 / $275.52 / $436.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.08 / $306.08 / $306.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.79 / $249.51 / $422.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.07 / $253.07 / $253.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $192.78