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V2628 Medicaid reimbursement rate by state (2026)

Fabrication and fitting of ocular conformer. Medicaid pays a median of $306.73 for V2628 across 45 states, from $123.57 in Illinois to $543.87 in North Dakota.

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

States publishing
45
National median
$306.73units vary by state
Lowest
$123.57Illinois
Highest
$543.87North Dakota

What does Medicaid pay for V2628?

45 state Medicaid programs publish a fee-for-service rate for V2628 at the physician psychologist level. The national median is $306.73 (units differ between states). North Dakota pays the most, $543.87, and Illinois the least, $123.57, a 4.4x spread.

V2628 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$543.87——Not classified—
2New Mexico Source · since 2023-07-01$516.46——Plans must pay at least this—
3Montana Source · since 2025-01-01$486.90——Not classified—
22Arizona Source · since 2026-10-01$312.24——Plans negotiate; applies out of network—
23Wyoming Source · since 2021-01-01$306.73——Not classified—
24District of Columbia Source · since 2026-04-01$297.98——Not classified—
44Florida Source · since 2026-01-01$210.94——Plans negotiate; applies out of network—
45Illinois Source · since 2025-01-01$123.57——Plans negotiate; applies out of network—
See all 45 states for V2628 — start free

37 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 V2628 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 V2628?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $306.73. North Dakota pays the most ($543.87) and Illinois the least ($123.57).

Which state pays the highest Medicaid rate for V2628?

North Dakota, at $543.87, effective 2026-07-01.

Do managed-care plans pay the same rate for V2628?

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.