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Billing code V2305 · Vision & hearing

V2305 Medicaid reimbursement rate by state (2026)

Spherocylinder, trifocal. Medicaid pays a median of $68.53 for V2305 across 31 states, from $5.50 in New Hampshire to $120.27 in Delaware.

Data as of Oct 5, 202631 statesEvery rate links to its official source

States publishing
31
National median
$68.53units vary by state
Lowest
$5.50New Hampshire
Highest
$120.27Delaware
Answer

What does Medicaid pay for V2305?

31 state Medicaid programs publish a fee-for-service rate for V2305. The national median is $68.53 (units differ between states). Delaware pays the most, $120.27, and New Hampshire the least, $5.50, a 21.9x spread.

State ranking

V2305 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-01-01$120.27——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$108.64——Plans negotiate; applies out of network—
3Virginia Source · since 2022-07-01$107.25——Plans negotiate; applies out of network—
15Missouri Source · since 2022-07-01$69.56——Plans must pay at least this—
16Rhode Island Source · since 2012-06-01$68.53——Plans negotiate; applies out of network—
17Wyoming Source · since 2021-01-01$62.34——Not classified—
30Wisconsin Source · since 2025-09-01$6.30——Plans negotiate; applies out of network—
31New Hampshire Source · since 2025-07-01$5.50——Plans negotiate; applies out of network—
See all 31 states for V2305 — start free

23 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track V2305 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for V2305?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $68.53. Delaware pays the most ($120.27) and New Hampshire the least ($5.50).

Which state pays the highest Medicaid rate for V2305?

Delaware, at $120.27, effective 2026-01-01.

Do managed-care plans pay the same rate for V2305?

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.