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Tennessee 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
$145.19 / $145.19 / $254.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $177.98 / $245.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.95 / $234.60 / $556.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $160.94 / $160.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.58 / $1,453.18 / $1,506.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.81 / $1,409.81 / $2,322.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $144.59 / $161.26