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Washington 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

Facilitymedian $331 · 10th–90th $269–$6170%20%10th90th$331Professionalmedian $209 · 10th–90th $145–$2570%20%10th90th$209$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $794.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $239.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $331.13 / $537.03
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $331.13 / $331.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $263.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $239.88