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V2313 Medicaid reimbursement rate by state (2026)

Spherocylinder, trifocal. Medicaid pays a median of $64.72 for V2313 across 31 states, from $10.00 in Vermont to $209.23 in Hawaii.

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

States publishing
31
National median
$64.72units vary by state
Lowest
$10.00Vermont
Highest
$209.23Hawaii

What does Medicaid pay for V2313?

31 state Medicaid programs publish a fee-for-service rate for V2313 at the physician psychologist level. The national median is $64.72 (units differ between states). Hawaii pays the most, $209.23, and Vermont the least, $10.00, a 20.9x spread.

V2313 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$209.23——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$136.94——Plans negotiate; applies out of network—
3Nevada Source · since 2024-01-01$133.06——Plans must pay at least this—
15Wyoming Source · since 2021-01-01$75.67——Not classified—
16Texas Source · since 2026-09-01$64.72——Plans negotiate; applies out of network—
17Colorado Source · since 2026-07-01$63.38——Plans negotiate; applies out of network—
30New Hampshire Source · since 2025-07-01$10.50——Plans negotiate; applies out of network—
31Vermont Source · since 2023-03-01$10.00——Not classified—
See all 31 states for V2313 — start free

23 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 V2313 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 V2313?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $64.72. Hawaii pays the most ($209.23) and Vermont the least ($10.00).

Which state pays the highest Medicaid rate for V2313?

Hawaii, at $209.23, effective 2026-06-01.

Do managed-care plans pay the same rate for V2313?

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.