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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

Facilitymedian $234 · 10th–90th $151$6170%20%10th90th$234Professionalmedian $214 · 10th–90th $145$5890%10%10th90th$214$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $416.87 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $223.87 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $912.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $1,513.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $323.59 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $239.88