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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Wisconsin 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 $275 · 10th–90th $151$6170%20%10th90th$275Professionalmedian $251 · 10th–90th $145$7080%10%20%10th90th$251$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$588.84
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$588.84
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$912.01
Quartz
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,479.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,148.15
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$239.88