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Billing code V2221 · Vision & hearing

V2221 Medicaid reimbursement rate by state (2026)

Lenticular lens, per lens, bifocal. Medicaid pays a median of $72.22 for V2221 across 36 states, from $6.30 in Wisconsin to $221.09 in Hawaii.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$72.22units vary by state
Lowest
$6.30Wisconsin
Highest
$221.09Hawaii
Answer

What does Medicaid pay for V2221?

36 state Medicaid programs publish a fee-for-service rate for V2221. The national median is $72.22 (units differ between states). Hawaii pays the most, $221.09, and Wisconsin the least, $6.30, a 35.1x spread.

State ranking

V2221 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$221.09——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$120.86——Plans negotiate; applies out of network—
3Nevada Source · since 2024-01-01$117.43——Plans must pay at least this—
18California Source · since 2026-10-01$75.56——Plans negotiate; applies out of network—
19Wyoming Source · since 2021-01-01$68.88——Not classified—
20Texas Source · since 2026-09-01$61.57——Plans negotiate; applies out of network—
35Michigan Source · since 2023-01-01$12.61——Plans negotiate; applies out of network—
36Wisconsin Source · since 2025-09-01$6.30——Plans negotiate; applies out of network—
See all 36 states for V2221 — start free

28 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 V2221 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 V2221?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $72.22. Hawaii pays the most ($221.09) and Wisconsin the least ($6.30).

Which state pays the highest Medicaid rate for V2221?

Hawaii, at $221.09, effective 2026-06-01.

Do managed-care plans pay the same rate for V2221?

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.