V5246 Medicaid reimbursement rate by state (2026)
Hearing aid, digitally programmable analog, monaural, ite. Medicaid pays a median of $478.33 for V5246 across 17 states, from $32.53 in Wisconsin to $1,325.50 in Georgia.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- National median
- $478.33units vary by state
- Lowest
- $32.53Wisconsin
- Highest
- $1,325.50Georgia
What does Medicaid pay for V5246?
17 state Medicaid programs publish a fee-for-service rate for V5246. The national median is $478.33 (units differ between states). Georgia pays the most, $1,325.50, and Wisconsin the least, $32.53, a 40.7x spread.
V5246 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5246?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $478.33. Georgia pays the most ($1,325.50) and Wisconsin the least ($32.53).
Which state pays the highest Medicaid rate for V5246?
Georgia, at $1,325.50, effective 2016-07-01.
Do managed-care plans pay the same rate for V5246?
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.