V2199 Medicaid reimbursement rates by state
Not otherwise classified, single vision lens. 6 state Medicaid programs publish a fee-for-service rate for V2199. Rates run from $10.50 in New Hampshire to $105.00 in Wisconsin, with a median of $31.41.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $31.41units vary by state
- Highest
- $105.00Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
V2199 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $105.00⚠ over 3× mediansince 2025-09-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: State Pu |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $99.00since 2018-10-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $34.82since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| 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 |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $16.92since 2014-01-01 | — | — | Not classified | — | SCDHHS Vision Fee Schedule (schedule cre |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $10.50since 2025-07-01 | — | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 V2199?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $31.41. Wisconsin pays the most ($105.00) and New Hampshire the least ($10.50).
Which state pays the highest Medicaid rate for V2199?
Wisconsin, at $105.00, effective 2025-09-01.
Do managed-care plans pay the same rate for V2199?
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.