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Vision & hearing Medicaid rates by code

177 vision & hearing codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.

CodeServiceStatesMedian rate
92288Eye exams and vision services15$18.45
92609Therapy using a communication device44$80.10
S0620Routine ophthalmological examination including refraction6$67.97
V2020Frames, purchases38$45.14
V2025Deluxe frame16$48.50
V2100Sphere, single vision, plano to plus or minus 4.00, per lens37$29.43
V2101Sphere, single vision37$33.69
V2102Sphere, single vision37$42.69
V2103Spherocylinder, single vision37$28.00
V2104Spherocylinder, single vision37$28.00
V2105Spherocylinder, single vision37$30.15
V2106Spherocylinder, single vision37$36.29
V2107Spherocylinder, single vision36$32.52
V2108Spherocylinder, single vision36$32.77
V2109Spherocylinder, single vision36$34.73
V2110Spherocylinder, single vision36$37.17
V2111Spherocylinder, single vision36$36.32
V2112Spherocylinder, single vision36$41.51
V2113Spherocylinder, single vision36$46.40
V2114Spherocylinder, single vision35$49.96
V2115Lenticular, (myodisc), per lens, single vision35$60.38
V2118Aniseikonic lens, single vision27$67.92
V2121Lenticular lens, per lens, single33$61.79
V2199Not otherwise classified, single vision lens8$38.69
V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens37$41.11
V2201Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d37$43.46
V2202Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d36$45.88
V2203Spherocylinder, bifocal37$41.47
V2204Spherocylinder, bifocal37$43.00
V2205Spherocylinder, bifocal37$45.31
V2206Spherocylinder, bifocal36$44.84
V2207Spherocylinder, bifocal36$44.25
V2208Spherocylinder, bifocal36$44.25
V2209Spherocylinder, bifocal36$47.66
V2210Spherocylinder, bifocal36$48.57
V2211Spherocylinder, bifocal36$45.36
V2212Spherocylinder, bifocal36$46.09
V2213Spherocylinder, bifocal36$51.13
V2214Spherocylinder, bifocal, sphere over plus or minus 12.00d35$51.26
V2215Lenticular (myodisc), per lens, bifocal33$65.76
V2218Aniseikonic, per lens, bifocal27$99.13
V2219Bifocal seg width over 28 mm32$42.88
V2220Bifocal add over 3.25d34$32.12
V2221Lenticular lens, per lens, bifocal36$72.22
V2299Specialty bifocal (by report)8$56.93
V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens32$55.34
V2301Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d32$64.70
V2302Sphere, trifocal, plus or minus 7.12 to plus or minus 20.0031$70.78
V2303Spherocylinder, trifocal32$54.80
V2304Spherocylinder, trifocal31$56.00
V2305Spherocylinder, trifocal31$68.53
V2306Spherocylinder, trifocal31$66.33
V2307Spherocylinder, trifocal31$67.80
V2308Spherocylinder, trifocal31$71.05
V2309Spherocylinder, trifocal31$65.53
V2310Spherocylinder, trifocal30$68.33
V2311Spherocylinder, trifocal30$72.00
V2312Spherocylinder, trifocal30$72.44
V2313Spherocylinder, trifocal31$64.72
V2314Spherocylinder, trifocal, sphere over plus or minus 12.00d30$72.40
V2315Lenticular, (myodisc), per lens, trifocal25$116.80
V2318Aniseikonic lens, trifocal23$148.10
V2319Trifocal seg width over 28 mm25$45.29
V2320Trifocal add over 3.25d30$41.19
V2321Lenticular lens, per lens, trifocal27$93.54
V2399Specialty trifocal (by report)8$59.86
V2410Variable asphericity lens, single vision, full field31$80.10
V2430Variable asphericity lens, bifocal, full field32$101.36
V2499Variable sphericity lens, other type8$53.00
V2500Contact lens, pmma, spherical, per lens31$87.69
V2501Contact lens, pmma, toric or prism ballast, per lens28$141.00
V2502Contact lens, pmma, bifocal, per lens24$163.73
V2503Contact lens, pmma, color vision deficiency, per lens20$158.98
V2510Contact lens, gas permeable, spherical, per lens33$109.53
V2511Contact lens, gas permeable, toric, prism ballast, per lens29$168.62
V2512Contact lens, gas permeable, bifocal, per lens25$199.26
V2513Contact lens, gas permeable, extended wear, per lens25$160.84
V2520Contact lens, hydrophilic, spherical, per lens33$107.02
V2521Contact lens, hydrophilic, toric, or prism ballast, per lens30$174.07
V2522Contact lens, hydrophilic, bifocal, per lens25$166.12
V2523Contact lens, hydrophilic, extended wear, per lens26$152.34
V2524Contact lens, hydrophilic, spherical, photochromic additive10$140.11
V2530Contact lens, scleral, gas impermeable, per lens25$193.81
V2531Contact lens, scleral, gas permeable, per lens26$498.17
V2599Contact lens, other type6$58.29
V2600Hand held low vision aids and other nonspectacle mounted...6$60.36
V2615Telescopic and other compound lens system5$329.99
V2623Prosthetic eye, plastic, custom47$934.09
V2624Polishing/resurfacing of ocular prosthesis47$54.38
V2625Enlargement of ocular prosthesis46$377.09
V2626Reduction of ocular prosthesis45$199.91
V2627Scleral cover shell44$1,331.60
V2628Fabrication and fitting of ocular conformer45$306.73
V2629Prosthetic eye, other type8$400.00
V2630Anterior chamber intraocular lens22$124.04
V2631Iris supported intraocular lens16$122.16
V2632Posterior chamber intraocular lens23$140.63
V2700Balance lens, per lens30$40.31
V2710Slab off prism, glass or plastic, per lens33$61.56
V2715Prism, per lens35$10.18
V2718Press-on lens, fresnell prism, per lens30$26.62
V2730Special base curve, glass or plastic, per lens26$18.24
V2744Tint, photochromatic, per lens29$15.93
V2745Addition to lens; tint, any color, solid, gradient or equal27$9.70
V2750Anti-reflective coating, per lens16$21.20
V2755U-v lens, per lens27$15.38
V2756Eye glass case5$1.50
V2760Scratch resistant coating, per lens17$15.69
V2762Polarization, any lens material, per lens12$56.50
V2770Occluder lens, per lens25$19.11
V2780Oversize lens, per lens22$10.64
V2781Progressive lens, per lens12$36.69
V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass16$62.46
V2783Lens, index greater than or equal to 1.66 plastic or greater...19$69.77
V2784Lens, polycarbonate or equal, any index, per lens29$42.20
V2785Processing, preserving and transporting corneal tissue5$2,500.00
V2799Vision item or service, miscellaneous11$25.75
V5008Hearing screening19$18.07
V5010Assessment for hearing aid22$44.79
V5011Fitting/orientation/checking of hearing aid24$50.00
V5014Repair/modification of a hearing aid26$128.53
V5020Conformity evaluation15$60.00
V5030Hearing aid, monaural, body worn, air conduction29$435.38
V5040Hearing aid, monaural, body worn, bone conduction31$433.09
V5050Hearing aid, monaural, in the ear36$435.36
V5060Hearing aid, monaural, behind the ear37$433.46
V5070Glasses, air conduction8$296.25
V5080Glasses, bone conduction8$296.25
V5090Dispensing fee, unspecified hearing aid22$221.22
V5100Hearing aid, bilateral, body worn14$696.23
V5110Dispensing fee, bilateral16$278.04
V5120Binaural, body17$618.60
V5130Binaural, in the ear31$900.00
V5140Binaural, behind the ear32$938.25
V5150Binaural, glasses8$592.50
V5160Dispensing fee, binaural32$286.93
V5171Hearing aid, contralateral routing device, monaural23$600.00
V5172Hearing aid, contralateral routing device, monaural20$576.87
V5181Hearing aid, contralateral routing device, monaural23$631.72
V5190Hearing aid, contralateral routing, monaural, glasses10$336.05
V5200Dispensing fee, contralateral, monaural26$238.64
V5211Hearing aid, contralateral routing system, binaural, ite/ite22$878.64
V5212Hearing aid, contralateral routing system, binaural, ite/itc19$992.96
V5213Hearing aid, contralateral routing system, binaural, ite/bte21$900.00
V5214Hearing aid, contralateral routing system, binaural, itc/itc19$900.00
V5215Hearing aid, contralateral routing system, binaural, itc/bte20$946.48
V5221Hearing aid, contralateral routing system, binaural, bte/bte24$946.48
V5230Hearing aid, contralateral routing system, binaural, glasses11$497.25
V5240Dispensing fee, contralateral routing system, binaural29$271.73
V5241Dispensing fee, monaural hearing aid, any type29$200.00
V5242Hearing aid, analog, monaural, cic9$396.64
V5243Hearing aid, analog, monaural, itc (in the canal)11$425.18
V5244Hearing aid, digitally programmable analog, monaural, cic13$478.33
V5245Hearing aid, digitally programmable, analog, monaural, itc14$464.17
V5246Hearing aid, digitally programmable analog, monaural, ite17$478.33
V5247Hearing aid, digitally programmable analog, monaural, bte18$464.17
V5248Hearing aid, analog, binaural, cic10$776.00
V5249Hearing aid, analog, binaural, itc12$801.69
V5250Hearing aid, digitally programmable analog, binaural, cic11$900.00
V5251Hearing aid, digitally programmable analog, binaural, itc14$1,095.12
V5252Hearing aid, digitally programmable, binaural, ite17$1,050.00
V5253Hearing aid, digitally programmable, binaural, bte19$1,060.45
V5254Hearing aid, digital, monaural, cic21$558.60
V5255Hearing aid, digital, monaural, itc23$575.00
V5256Hearing aid, digital, monaural, ite28$587.50
V5257Hearing aid, digital, monaural, bte29$600.00
V5258Hearing aid, digital, binaural, cic23$1,060.45
V5259Hearing aid, digital, binaural, itc24$1,095.12
V5260Hearing aid, digital, binaural, ite30$1,164.90
V5261Hearing aid, digital, binaural, bte32$1,164.90
V5264Ear mold/insert, not disposable, any type42$40.00
V5265Ear mold/insert, disposable, any type10$40.00
V5266Battery for use in hearing device40$1.34
V5267Hearing aid or assistive listening...12$31.67
V5275Ear impression, each21$23.91
V5299Hearing service, miscellaneous12$39.72
V5336Repair/modification of augmentative communicative system or...6$42.80
Vision & hearing rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.
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Medicaid rates by state
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