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Dexcom G6's average cost without insurance is about $450 for the receiver, $300 for 1 transmitter, and $440 for 3 sensors. You'd need a separate prescription for each item. A transmitter has a 90-day battery life, but the Dexcom G6 sensors need to be replaced every 10 days.

A new code has been added: CPT code 95249 for personal CGM start-up and training. CPT code 95250 is now defined as start-up/training for professional CGM devices (CGM devices that were purchased by the clinic/practice for use with multiple patients).

CPT code 95250 may be appropriate for retrospective CGM and for the initial training, hookup, download, etc. on patient-use CGM. The CPT code 95251 is for the analysis and interpretation of CGM data. This analysis does not need to be performed face-to-face with the patient.

In order to qualify for Medicare coverage of your Dexcom G6 supplies, Medicare requires that you have a receiver that is compatible with Dexcom G6 and that you use that receiver with your supplies, even if you also use a compatible smart device.

A prior authorization is designed to make sure certain prescription drugs or devices are used correctly and only when medically necessary.

Effective Feb. 1, 2022, Priority Partners will require prior authorization for coverage of Freestyle Libre and Dexcom devices to determine medical necessity. If authorization is granted, members will be able to obtain these continuous glucose monitors (CGMs) from any in-network pharmacy. * online submission tools.

You may have pharmacy coverage for Dexcom through your insurance, which would allow you to get supplies at your local pharmacy. The Dexcom team has worked to expand pharmacy coverage for our customers, resulting in increased insurance provider coverage of CGM as a pharmacy benefit (versus Durable Medical Equipment).

Have type 1 or type 2 diabetes (T1D/T2D) Use an pump or take ≥3 daily administrations of . Have an treatment regimen that requires frequent adjustments based on BGM or CGM testing results.