Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4238. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
26
Median % of Medicare
--
Rate range
$185.98 - $855.06
A4238 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $335.76 | -- | -- | 2026 |
| Colorado | $855.06 | -- | Required | 2026 |
| District of Columbia | $209.56 | -- | Not required | 2023 |
| Delaware | $280.71* | -- | -- | 2026 |
| Georgia | $261.95 | -- | -- | 2026 |
| Iowa | $259.01 | -- | -- | 2024 |
| Indiana | $275.21 | -- | Required | 2026 |
| Kansas | $224.57 | -- | -- | 2026 |
| Kentucky | $268.76 | -- | -- | 2026 |
| Massachusetts | $268.76* | -- | -- | 2026 |
| Maryland | $238.60 | -- | -- | 2026 |
| Maine | $280.71* | -- | -- | 2026 |
| Michigan | $207.24 | -- | -- | 2026 |
| Minnesota | $280.71 | -- | Required | 2026 |
| Mississippi | $224.57* | -- | -- | 2026 |
| Montana | $280.71 | -- | Not required | 2026 |
| Nebraska | $248.19 | -- | -- | 2026 |
| New Hampshire | $215.01 | -- | Not required | 2026 |
| New Jersey | $196.50 | -- | Not required | 2026 |
| New York | $261.95 | -- | -- | 2026 |
| Ohio | $210.00 | -- | -- | 2024 |
| Pennsylvania | $209.56 | -- | -- | 2023 |
| South Carolina | $185.98* | -- | -- | 2022 |
| Texas | $261.95* | -- | -- | 2023 |
| Virginia | $252.64 | -- | -- | 2026 |
| Washington | $270.89 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
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- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 238 codes from A4206 to A4932 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A4238?
26 state Medicaid programs publish a fee-for-service rate for A4238 (supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service), ranging from $185.98 in South Carolina to $855.06 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4238?
Colorado publishes the highest Medicaid rate for A4238 at $855.06. South Carolina publishes the lowest at $185.98.
Does A4238 require prior authorization under Medicaid?
3 of the 26 publishing states flag A4238 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".