V5265 Medicaid reimbursement rate by state (2026)
Ear mold/insert, disposable, any type. Medicaid pays a median of $40.00 for V5265 across 10 states, from $10.00 in New Jersey to $250.00 in Missouri.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- National median
- $40.00units vary by state
- Lowest
- $10.00New Jersey
- Highest
- $250.00Missouri
What does Medicaid pay for V5265?
10 state Medicaid programs publish a fee-for-service rate for V5265 at the physician psychologist level. The national median is $40.00 (units differ between states). Missouri pays the most, $250.00, and New Jersey the least, $10.00, a 25.0x spread.
V5265 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5265?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $40.00. Missouri pays the most ($250.00) and New Jersey the least ($10.00).
Which state pays the highest Medicaid rate for V5265?
Missouri, at $250.00, effective 2013-09-01.
Do managed-care plans pay the same rate for V5265?
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.