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Billing code V2115 · Vision & hearing

V2115 Medicaid reimbursement rate by state (2026)

Lenticular, (myodisc), per lens, single vision. Medicaid pays a median of $60.38 for V2115 across 35 states, from $6.22 in Illinois to $133.45 in Hawaii.

Data as of Oct 5, 202635 statesEvery rate links to its official source

States publishing
35
National median
$60.38units vary by state
Lowest
$6.22Illinois
Highest
$133.45Hawaii
Answer

What does Medicaid pay for V2115?

35 state Medicaid programs publish a fee-for-service rate for V2115. The national median is $60.38 (units differ between states). Hawaii pays the most, $133.45, and Illinois the least, $6.22, a 21.5x spread.

State ranking

V2115 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$133.45——Plans negotiate; applies out of network—
2Indiana Source · since 2026-01-01$105.94unit—Plans must pay at least this—
3Delaware Source · since 2026-01-01$98.19——Plans negotiate; applies out of network—
17Massachusetts Source · since 2025-02-14$62.98——Plans negotiate; applies out of network—
18Texas Source · since 2026-09-01$60.38——Plans negotiate; applies out of network—
19Rhode Island Source · since 2012-06-01$54.38——Plans negotiate; applies out of network—
34New Hampshire Source · since 2025-07-01$10.50——Plans negotiate; applies out of network—
35Illinois Source · since 2019-12-03$6.22——Plans negotiate; applies out of network—
See all 35 states for V2115 — start free

27 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track V2115 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for V2115?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $60.38. Hawaii pays the most ($133.45) and Illinois the least ($6.22).

Which state pays the highest Medicaid rate for V2115?

Hawaii, at $133.45, effective 2026-06-01.

Do managed-care plans pay the same rate for V2115?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.