V5255 Medicaid reimbursement rate by state (2026)
Hearing aid, digital, monaural, itc. Medicaid pays a median of $575.00 for V5255 across 23 states, from $32.53 in Wisconsin to $1,835.00 in Iowa.
- States publishing
- 23
- National median
- $575.00units vary by state
- Lowest
- $32.53Wisconsin
- Highest
- $1,835.00Iowa
What does Medicaid pay for V5255?
23 state Medicaid programs publish a fee-for-service rate for V5255. The national median is $575.00 (units differ between states). Iowa pays the most, $1,835.00, and Wisconsin the least, $32.53, a 56.4x spread.
V5255 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5255?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $575.00. Iowa pays the most ($1,835.00) and Wisconsin the least ($32.53).
Which state pays the highest Medicaid rate for V5255?
Iowa, at $1,835.00, effective 2019-05-01.
Do managed-care plans pay the same rate for V5255?
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.