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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Utah 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 July 2026.

Facilitymedian $135 · 10th–90th $135$1350%50%$135Professionalmedian $200 · 10th–90th $135$2630%10%20%10th90th$200$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$288.40
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$239.88