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V2312 Medicaid reimbursement rate by state (2026)

Spherocylinder, trifocal. Medicaid pays a median of $72.44 for V2312 across 30 states, from $6.30 in Wisconsin to $190.77 in Hawaii.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
30
National median
$72.44units vary by state
Lowest
$6.30Wisconsin
Highest
$190.77Hawaii

What does Medicaid pay for V2312?

30 state Medicaid programs publish a fee-for-service rate for V2312 at the physician psychologist level. The national median is $72.44 (units differ between states). Hawaii pays the most, $190.77, and Wisconsin the least, $6.30, a 30.3x spread.

V2312 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$190.77——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$123.41——Plans negotiate; applies out of network—
3Arizona Source · since 2026-10-01$122.62——Plans negotiate; applies out of network—
15New Jersey Source · since 2026-07-01$77.13——Not classified—
16Wyoming Source · since 2021-01-01$67.75——Not classified—
17Texas Source · since 2026-09-01$61.97——Plans negotiate; applies out of network—
29Michigan Source · since 2023-01-01$7.76——Plans negotiate; applies out of network—
30Wisconsin Source · since 2025-09-01$6.30——Plans negotiate; applies out of network—
See all 30 states for V2312 — start free

22 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.

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 V2312 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for V2312?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $72.44. Hawaii pays the most ($190.77) and Wisconsin the least ($6.30).

Which state pays the highest Medicaid rate for V2312?

Hawaii, at $190.77, effective 2026-06-01.

Do managed-care plans pay the same rate for V2312?

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.