Table 6:
Per Procedure Cost
| Procedure | Average Cost |
|---|---|
| POC HbA1c testing | $16.26a |
| Bayer A1C Now + | $16.45b |
| DCA Vantage | $9.74c |
| In2it | $22.50d |
| Lancets | $0.03e |
| Lab HbA1c measurement | $8.81f |
| Physician visit (diabetes management assessment) | $39.20 (fee code K030)g |
| Additional physician visit for patients with suboptimal glycemic control | $33.70 (fee code A007)h |
Abbreviations: lab HbA1c, laboratory hemoglobin A1c; POC HbA1c, point-of-care hemoglobin A1c.
Total cost for a POC HbA1c test includes the average cost of the 3 reviewed devices plus the cost of a lancet.
Manufacturer list price from McKesson, based on a 10-test MD kit. Cost includes a wholesale markup.
Price for DCA 2000 kit reagent 10TST/PK. Personal communication, Manthamed distributor, September 1, 2013.
Personal communication, product manager, Bio-Rad Laboratories (Canada) Ltd., September 19, 2013.
Manufacturer list price from McKesson, based on a 100 lancets per box (Medi+Sure Soft Twist Lancet). Cost includes a wholesale markup.
Cost for a lab HbA1c test is based on the Ontario Schedule of Benefits for Laboratory Services, (14) assuming that the cap per test is 77.5% (average of 75% to 80%) of the total of $11.37 (average cost of $8.81).
The cost per physician visit for patients with diabetes was obtained from the Ontario Schedule of Benefits for Physician Services, using the fee code K030 for Diabetic Management Assessment, up to a maximum of 4 visits per year. (15)
The cost for the 2 additional physician visits for patients with suboptimal glycemic control was applied using the fee code A007. (15)