S0580 Medicaid reimbursement rate by state (2026)
Polycarbonate lens (list this code in addition to the basic.... Medicaid pays a median of $12.00 for S0580 across 5 states, from $5.00 in Kansas to $18.96 in Delaware.
- States publishing
- 5
- National median
- $12.00units vary by state
- Lowest
- $5.00Kansas
- Highest
- $18.96Delaware
What does Medicaid pay for S0580?
5 state Medicaid programs publish a fee-for-service rate for S0580. The national median is $12.00 (units differ between states). Delaware pays the most, $18.96, and Kansas the least, $5.00, a 3.8x spread.
S0580 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0580?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $12.00. Delaware pays the most ($18.96) and Kansas the least ($5.00).
Which state pays the highest Medicaid rate for S0580?
Delaware, at $18.96, effective 2024-01-01.
Do managed-care plans pay the same rate for S0580?
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.