A4239
Class II CGMs
Continuous glucose monitoring systems for continuous blood sugar management.
4 codes tracked · 0 available nowExplore
Get ready for R2028. Medicare resets prices on 157 codes in 2028.
Know what
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Before you negotiate.
Monthly reimbursement intelligence across the Round 2028 HCPCS categories, built for the contracting leads, CFOs and RCM directors who move healthcare supply forward.
- Static CDN · No DB
- TiC-sourced rates
- Updated monthly
- covered lives
- 203.9 M
- payers
- 7
- rate refresh
- monthly
- codes tracked
- 157
Sum of each payer’s own publicly reported membership figure, on the basis that payer states, as of 2025-12-31, which is the oldest of those dates. Per-payer figures, bases and citations are on the payer pages.
Coverage
Every category. Every lead code.
7 payers.
7 HCPCS product categories, from urological to upper extremity, tracked across 7 payers with monthly data updates.
A4296Hydrophilic Catheters
Pre-lubricated intermittent catheters that reduce infection risk and improve comfort.
3 codes tracked · 3 available nowExplore
L3916OTS Upper Extremity
Off-the-shelf wrist, hand, and arm orthoses for injury and post-surgical support.
16 codes tracked · 16 available nowExplore
L0651
L1852
A4385Ostomy Supplies
Pouching systems, skin barriers, and accessories for ostomy management.
87 codes tracked · 87 available nowExplore
A4352Urological
Catheters, drainage bags, and accessories for urinary tract management.
23 codes tracked · 23 available nowExplore
Data from
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PayorTransparency surfaces the reimbursement intelligence each role actually needs. Not a firehose, a focused signal.
VP Managed Care / Contracting
SUPPLIER“Walk into every negotiation knowing what each payer publishes for your codes, by code and by state.”
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CEO / GM
SUPPLIER“Board-ready market intelligence on reimbursement trends across the tracked categories.”
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CFO / Pricing Analyst
SUPPLIER“Model revenue impact of rate changes before they hit your P&L.”
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RCM Director
SUPPLIER“Catch policy changes before they create denials and know what documentation payers actually require.”
- Billing compliance
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- Documentation
Market Expansion / BD
SUPPLIER“Identify underpenetrated geographies where reimbursement supports your growth thesis.”
- Geographic entry
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Market Access & Reimbursement
MANUFACTURER“Map coverage policies and premium rate bands across the payers on the board before your launch.”
- Coverage policies
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National Accounts / Payer Team
MANUFACTURER“Understand what downstream suppliers are contracting at, and where channel conflict lives.”
- Supplier network intelligence
- Competitor contracts
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Consultant / Analyst
THIRD-PARTY“Defensible, source-cited benchmarks across categories, ready for client deliverables.”
- Market structure
- Methodology
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The platform
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Customer Stories
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RCM Director
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Apex Billing Solutions
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Horizon Advisory
- SUPPLIER
VP Managed Care
“We used to guess at payer renewals.”
Summit Health System
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$129 base platform · $99 per category · Round 2028 free on every plan.