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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

New York 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

Rates data updated October 2026.

How much does Adjunctive Nonimplanted Continuous Glucose Monitor Supplies cost?

$224

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $263 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$170 to $372
FacilityA hospital or hospital-owned outpatient department$263$263 to $282

How much rates vary

Facilitymedian $263 · 10th to 90th $224 to $468Professionalmedian $224 · 10th to 90th $151 to $372
$100$200$500$1Kfacility $263professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$204.17
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
KF · Class III device
Typical Low
$229.09
Median
$229.09
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$281.84
Median
$281.84
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$416.87
Typical High
$1,023.29
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$309.03
Typical High
$524.81
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
KF · Class III device
Typical Low
$218.78
Median
$234.42
Typical High
$239.88
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
MVP Health Care
Setting
Professional
Modifier
KF · Class III device
Typical Low
$194.98
Median
$194.98
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$169.82
Typical High
$218.78
Univera
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$263.03
Typical High
$263.03
Univera
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$263.03
Univera
Setting
Professional
Modifier
KF · Class III device
Typical Low
$218.78
Median
$234.42
Typical High
$239.88

Where New York sits

The same service costs 2.1 times more in Montana than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 19th of 51

$224

MT $282HI $135

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.