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V5299 Medicaid reimbursement rates by state

Hearing service, miscellaneous. 7 state Medicaid programs publish a fee-for-service rate for V5299 at the physician psychologist level. Rates run from $0.00 in Arkansas to $500.00 in Missouri, with a median of $27.00.

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

States publishing
7
Median rate
$27.00units vary by state
Highest
$500.00Missouri
Medicare (non-facility)
—not on the physician fee schedule

V5299 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
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$500.00⚠ over 3× mediansince 2013-09-01——Paid by the state, outside plans—MO HealthNet fee schedule: First Steps
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$60.00since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Audiology fee schedule (2022
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$29.43since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$27.00since 2016-07-01——Not classified—CMAP fee schedule: Special Services 7/1/
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$13.15since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Hearing Aid Pr
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$10.10since 2022-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Hearing Aid / Audiol
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2024-03-26——Not classified—Arkansas Medicaid Hearing Services Fee S

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 V5299?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $27.00. Missouri pays the most ($500.00) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for V5299?

Missouri, at $500.00, effective 2013-09-01.

Do managed-care plans pay the same rate for V5299?

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 V5299 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state