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V2118 Medicaid reimbursement rates by state

Aniseikonic lens, single vision. 14 state Medicaid programs publish a fee-for-service rate for V2118 at the physician psychologist level. Rates run from $12.76 in Iowa to $115.28 in Indiana, with a median of $60.08.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
14
Median rate
$60.08units vary by state
Highest
$115.28Indiana
Medicare (non-facility)
—not on the physician fee schedule

V2118 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$115.28since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$97.02since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$83.22since 2025-02-14——Plans negotiate; applies out of network—Rates for Vision Care Services and Ophth
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$79.57since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$71.81since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$67.92since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$65.51since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Optometrist a
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$54.65since 2024-09-01——Plans must pay at least this—Louisiana Medicaid Vision (Eyewear) Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$50.45since 2008-07-01——Not classified—CMAP fee schedule: Optician/Eyeglasses A
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$45.50since 2022-07-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$44.89since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$28.00since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Vision fee schedule (2022Vis
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$21.00since 2025-09-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: State Pu
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$12.76since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for V2118?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $60.08. Indiana pays the most ($115.28 per unit) and Iowa the least ($12.76).

Which state pays the highest Medicaid rate for V2118?

Indiana, at $115.28 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for V2118?

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 table shows the rule for each state, cited to the contract or statute.

Related Vision & hearing codes

Track V2118 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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