Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4238 Fee Schedule
HCPCS A4238 is classified under Medical And Surgical Supplies, in the Replacement Batteries subgroup.
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Batteries |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $224.57 median of the 5 states in the free preview · View Medicaid rates for A4238 |
National average reimbursement for HCPCS A4238 by major payers:
$232.45
BCBS / Anthem
$168.85
UnitedHealthcare
$201.90
Aetna
$165.71
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4238.
HCPCS A4238
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$530.16Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$216.88Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$156.63Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$144.58Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$96.38Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4238 vs. Other Replacement Batteries Codes
The table lists codes related to A4238. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4236-HCPCS | Low | Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4238-HCPCS | Moderate | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
| A4239-HCPCS | Moderate | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4238 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4238) and we'll show you how you compare in 15 minutes or less.