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Billing code V5070 · Vision & hearing

V5070 Medicaid reimbursement rate by state (2026)

Glasses, air conduction. Medicaid pays a median of $296.25 for V5070 across 8 states, from $1.53 in California to $859.27 in Nebraska.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$296.25units vary by state
Lowest
$1.53California
Highest
$859.27Nebraska
Answer

What does Medicaid pay for V5070?

8 state Medicaid programs publish a fee-for-service rate for V5070. The national median is $296.25 (units differ between states). Nebraska pays the most, $859.27, and California the least, $1.53, a 561.6x spread.

State ranking

V5070 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$859.27——Plans negotiate; applies out of network—
2Louisiana Source · since 2012-07-01$553.73——Plans must pay at least this—
3Maine Source · since 2026-01-01$428.40——Not classified—
7Wisconsin Source · since 2022-01-01$32.86——Plans negotiate; applies out of network—
8California Source · since 2026-10-01$1.53——Plans negotiate; applies out of network—
See all 8 states for V5070 — start free

3 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 V5070 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 V5070?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $296.25. Nebraska pays the most ($859.27) and California the least ($1.53).

Which state pays the highest Medicaid rate for V5070?

Nebraska, at $859.27, effective 2026-07-01.

Do managed-care plans pay the same rate for V5070?

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.