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HCPCS A4239-KF

Non-adju cgm supply allow

Payer pricing summary

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Low

$293

Average

$353

Median

$307

High

$596

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 6 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	5	$312	$299	$23	8%	—	$256 – $312
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$318	$318	—	—	—	$318 – $318
3	Humana facility · fee schedule · outpatient	5	$293	$294	$4	1%	—	$293 – $302
4	WellCare facility · fee schedule · outpatient	4	$318	$318	—	—	—	$318 – $318
5	Cigna facility · fee schedule · outpatient	3	$625	$596	$117	20%	—	$459 – $809
6	Regence facility · fee schedule · outpatient	2	$297	$297	—	—	—	$297 – $297

← Hospitals reporting HCPCS A4239-KF · Snapshot 20261115T194459Z-975ba28a