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V2522 Medicaid reimbursement rate by state (2026)

Contact lens, hydrophilic, bifocal, per lens. Medicaid pays a median of $166.12 for V2522 across 25 states, from $5.00 in Idaho to $322.99 in New Mexico.

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

States publishing
25
National median
$166.12units vary by state
Lowest
$5.00Idaho
Highest
$322.99New Mexico

What does Medicaid pay for V2522?

25 state Medicaid programs publish a fee-for-service rate for V2522 at the physician psychologist level. The national median is $166.12 (units differ between states). New Mexico pays the most, $322.99, and Idaho the least, $5.00, a 64.6x spread.

V2522 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 25 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2023-07-01$322.99——Plans must pay at least this—
2Virginia Source · since 2022-07-01$286.00——Plans negotiate; applies out of network—
3Iowa Source · since 2024-02-01$264.97——Plans must pay at least this—
12West Virginia Source · since 2026-04-01$185.58——Plans negotiate; applies out of network—
13Louisiana Source · since 2024-09-01$166.12——Plans must pay at least this—
14Colorado Source · since 2026-07-01$161.44——Plans negotiate; applies out of network—
24Minnesota Source · since 2011-01-01$68.65——Plans negotiate; applies out of network—
25Idaho Source · since 2022-06-01$5.00——Not classified—
See all 25 states for V2522 — start free

17 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 V2522 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 V2522?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $166.12. New Mexico pays the most ($322.99) and Idaho the least ($5.00).

Which state pays the highest Medicaid rate for V2522?

New Mexico, at $322.99, effective 2023-07-01.

Do managed-care plans pay the same rate for V2522?

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.