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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Pennsylvania 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?

$182

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $126 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$145 to $257
FacilityA hospital or hospital-owned outpatient department$126$126 to $126

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $209Professionalmedian $182 · 10th to 90th $126 to $275
$100$200$500$1Kfacility $126professional $182

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$169.82
Typical High
$218.78
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$275.42
Capital Blue Cross
Setting
Professional
Modifier
KF · Class III device
Typical Low
$245.47
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$407.38
Typical High
$512.86
Geisinger
Setting
Facility
Modifier
KF · Class III device
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Geisinger
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Geisinger
Setting
Professional
Modifier
KF · Class III device
Typical Low
$169.82
Median
$169.82
Typical High
$281.84
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$218.78
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
UPMC Health Plan
Setting
Facility
Modifier
KF · Class III device
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
UPMC Health Plan
Setting
Professional
Modifier
KF · Class III device
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$239.88

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$182

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.