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V2745 Medicaid reimbursement rates by state

Addition to lens; tint, any color, solid, gradient or equal. 18 state Medicaid programs publish a fee-for-service rate for V2745 at the physician psychologist level. Rates run from $1.52 in Florida to $11.79 in Ohio, with a median of $8.59.

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

States publishing
18
Median rate
$8.59units vary by state
Highest
$11.79Ohio
Medicare (non-facility)
—not on the physician fee schedule

V2745 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
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$11.79since 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)$11.44since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$10.61since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$9.91since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Optometrist a
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$9.83since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$9.70since 2023-01-01——Plans negotiate; applies out of network—MDHHS Vision Fee Schedule database, 2023
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$9.59since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$8.89since 2025-09-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: State Pu
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$8.67since 2025-02-14——Plans negotiate; applies out of network—Rates for Vision Care Services and Ophth
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$8.50since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$8.17since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$6.84since 2004-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$5.54since 2024-09-01——Plans must pay at least this—Louisiana Medicaid Vision (Eyewear) Fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$3.54since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$3.40since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$2.95since 2008-07-01——Not classified—CMAP fee schedule: Optician/Eyeglasses A
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$1.92since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Vision Care Fee Sche
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1.52since 2026-01-01——Plans negotiate; applies out of network—Visual Services Fee Schedule (AHCA Updat

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 V2745?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $8.59. Ohio pays the most ($11.79) and Florida the least ($1.52).

Which state pays the highest Medicaid rate for V2745?

Ohio, at $11.79, effective 2026-01-01.

Do managed-care plans pay the same rate for V2745?

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 V2745 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state