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Vision & hearing Medicaid rates by code

179 vision & hearing codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.

CodeServiceStatesMedian rate
92025Eye exams and vision services38$15.79
92060Eye exams and vision services39$30.43
92083Eye exams and vision services39$29.84
92145Eye exams and vision services21$8.09
92265Eye exams and vision services38$35.62
92288Eye exams and vision services12$18.45
92591Hearing tests and audiology services10$56.66
92609Therapy using a communication device34$74.84
92618Hearing tests and audiology services10$24.49
92630Hearing tests and audiology services22$51.52
92633Hearing tests and audiology services22$51.52
S0620Routine ophthalmological examination including refraction5$60.23
V2020Frames, purchases29$36.73
V2025Deluxe frame11$63.20
V2100Sphere, single vision, plano to plus or minus 4.00, per lens29$28.00
V2101Sphere, single vision29$28.00
V2102Sphere, single vision29$31.77
V2103Spherocylinder, single vision29$22.28
V2104Spherocylinder, single vision29$26.35
V2105Spherocylinder, single vision29$28.00
V2106Spherocylinder, single vision29$31.14
V2107Spherocylinder, single vision28$25.20
V2108Spherocylinder, single vision28$26.33
V2109Spherocylinder, single vision28$29.63
V2110Spherocylinder, single vision28$33.69
V2111Spherocylinder, single vision28$31.05
V2112Spherocylinder, single vision28$31.05
V2113Spherocylinder, single vision28$36.93
V2114Spherocylinder, single vision27$46.29
V2115Lenticular, (myodisc), per lens, single vision28$55.87
V2118Aniseikonic lens, single vision20$66.72
V2121Lenticular lens, per lens, single27$52.57
V2199Not otherwise classified, single vision lens5$34.82
V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens29$36.60
V2201Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d29$39.42
V2202Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d28$43.28
V2203Spherocylinder, bifocal29$39.20
V2204Spherocylinder, bifocal29$40.37
V2205Spherocylinder, bifocal29$43.00
V2206Spherocylinder, bifocal28$43.04
V2207Spherocylinder, bifocal28$38.89
V2208Spherocylinder, bifocal28$40.97
V2209Spherocylinder, bifocal28$42.98
V2210Spherocylinder, bifocal28$45.19
V2211Spherocylinder, bifocal28$42.66
V2212Spherocylinder, bifocal28$44.07
V2213Spherocylinder, bifocal28$46.29
V2214Spherocylinder, bifocal, sphere over plus or minus 12.00d27$48.55
V2215Lenticular (myodisc), per lens, bifocal26$65.68
V2218Aniseikonic, per lens, bifocal20$96.94
V2219Bifocal seg width over 28 mm25$43.00
V2220Bifocal add over 3.25d27$33.50
V2221Lenticular lens, per lens, bifocal28$61.45
V2299Specialty bifocal (by report)5$50.00
V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens24$51.67
V2301Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d24$59.00
V2302Sphere, trifocal, plus or minus 7.12 to plus or minus 20.0023$62.28
V2303Spherocylinder, trifocal24$50.49
V2304Spherocylinder, trifocal23$56.00
V2305Spherocylinder, trifocal23$56.00
V2306Spherocylinder, trifocal23$56.00
V2307Spherocylinder, trifocal23$56.00
V2308Spherocylinder, trifocal23$56.00
V2309Spherocylinder, trifocal23$60.01
V2310Spherocylinder, trifocal22$59.05
V2311Spherocylinder, trifocal22$60.77
V2312Spherocylinder, trifocal22$59.03
V2313Spherocylinder, trifocal23$62.09
V2314Spherocylinder, trifocal, sphere over plus or minus 12.00d22$64.03
V2315Lenticular, (myodisc), per lens, trifocal18$116.33
V2318Aniseikonic lens, trifocal16$151.49
V2319Trifocal seg width over 28 mm19$46.01
V2320Trifocal add over 3.25d23$44.58
V2321Lenticular lens, per lens, trifocal22$87.60
V2399Specialty trifocal (by report)5$56.00
V2410Variable asphericity lens, single vision, full field23$76.31
V2430Variable asphericity lens, bifocal, full field24$101.36
V2499Variable sphericity lens, other type6$53.00
V2500Contact lens, pmma, spherical, per lens26$85.08
V2501Contact lens, pmma, toric or prism ballast, per lens24$139.38
V2502Contact lens, pmma, bifocal, per lens20$163.73
V2503Contact lens, pmma, color vision deficiency, per lens16$151.33
V2510Contact lens, gas permeable, spherical, per lens26$108.90
V2511Contact lens, gas permeable, toric, prism ballast, per lens24$167.37
V2512Contact lens, gas permeable, bifocal, per lens21$199.26
V2513Contact lens, gas permeable, extended wear, per lens20$157.87
V2520Contact lens, hydrophilic, spherical, per lens26$105.51
V2521Contact lens, hydrophilic, toric, or prism ballast, per lens24$166.63
V2522Contact lens, hydrophilic, bifocal, per lens21$166.12
V2523Contact lens, hydrophilic, extended wear, per lens21$150.15
V2524Contact lens, hydrophilic, spherical, photochromic additive6$125.32
V2530Contact lens, scleral, gas impermeable, per lens19$193.81
V2531Contact lens, scleral, gas permeable, per lens19$494.40
V2624Polishing/resurfacing of ocular prosthesis36$54.29
V2625Enlargement of ocular prosthesis35$366.54
V2626Reduction of ocular prosthesis34$203.76
V2627Scleral cover shell33$1,322.33
V2628Fabrication and fitting of ocular conformer34$296.94
V2629Prosthetic eye, other type6$400.00
V2630Anterior chamber intraocular lens16$124.04
V2631Iris supported intraocular lens10$121.10
V2632Posterior chamber intraocular lens17$125.91
V2700Balance lens, per lens23$41.53
V2710Slab off prism, glass or plastic, per lens25$61.56
V2715Prism, per lens26$10.25
V2718Press-on lens, fresnell prism, per lens23$26.09
V2730Special base curve, glass or plastic, per lens20$18.62
V2744Tint, photochromatic, per lens21$14.98
V2745Addition to lens; tint, any color, solid, gradient or equal20$8.78
V2750Anti-reflective coating, per lens10$18.34
V2755U-v lens, per lens20$15.48
V2760Scratch resistant coating, per lens11$15.37
V2762Polarization, any lens material, per lens7$56.18
V2770Occluder lens, per lens19$18.96
V2780Oversize lens, per lens16$9.95
V2781Progressive lens, per lens8$36.69
V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass10$62.20
V2783Lens, index greater than or equal to 1.66 plastic or greater...13$69.17
V2784Lens, polycarbonate or equal, any index, per lens21$41.25
V2799Vision item or service, miscellaneous6$14.81
V5008Hearing screening14$15.59
V5010Assessment for hearing aid17$44.57
V5011Fitting/orientation/checking of hearing aid18$47.21
V5014Repair/modification of a hearing aid21$105.50
V5020Conformity evaluation10$56.26
V5030Hearing aid, monaural, body worn, air conduction23$428.40
V5040Hearing aid, monaural, body worn, bone conduction26$430.75
V5050Hearing aid, monaural, in the ear28$386.32
V5060Hearing aid, monaural, behind the ear28$389.33
V5070Glasses, air conduction8$296.25
V5080Glasses, bone conduction8$296.25
V5090Dispensing fee, unspecified hearing aid17$215.82
V5100Hearing aid, bilateral, body worn11$692.46
V5110Dispensing fee, bilateral13$273.23
V5120Binaural, body16$650.00
V5130Binaural, in the ear23$752.00
V5140Binaural, behind the ear23$752.00
V5150Binaural, glasses8$592.50
V5160Dispensing fee, binaural26$285.50
V5171Hearing aid, contralateral routing device, monaural17$553.73
V5172Hearing aid, contralateral routing device, monaural15$414.86
V5181Hearing aid, contralateral routing device, monaural18$512.78
V5190Hearing aid, contralateral routing, monaural, glasses9$296.09
V5200Dispensing fee, contralateral, monaural21$228.31
V5211Hearing aid, contralateral routing system, binaural, ite/ite17$752.00
V5212Hearing aid, contralateral routing system, binaural, ite/itc14$826.00
V5213Hearing aid, contralateral routing system, binaural, ite/bte16$787.13
V5214Hearing aid, contralateral routing system, binaural, itc/itc15$752.00
V5215Hearing aid, contralateral routing system, binaural, itc/bte15$752.00
V5221Hearing aid, contralateral routing system, binaural, bte/bte18$749.02
V5230Hearing aid, contralateral routing system, binaural, glasses9$497.25
V5240Dispensing fee, contralateral routing system, binaural24$243.97
V5241Dispensing fee, monaural hearing aid, any type24$197.00
V5242Hearing aid, analog, monaural, cic8$386.32
V5243Hearing aid, analog, monaural, itc (in the canal)9$396.64
V5244Hearing aid, digitally programmable analog, monaural, cic10$423.32
V5245Hearing aid, digitally programmable, analog, monaural, itc10$423.32
V5246Hearing aid, digitally programmable analog, monaural, ite12$423.32
V5247Hearing aid, digitally programmable analog, monaural, bte12$423.32
V5248Hearing aid, analog, binaural, cic9$752.00
V5249Hearing aid, analog, binaural, itc10$776.00
V5250Hearing aid, digitally programmable analog, binaural, cic9$752.00
V5251Hearing aid, digitally programmable analog, binaural, itc9$752.00
V5252Hearing aid, digitally programmable, binaural, ite12$726.00
V5253Hearing aid, digitally programmable, binaural, bte12$712.50
V5254Hearing aid, digital, monaural, cic15$530.22
V5255Hearing aid, digital, monaural, itc17$558.60
V5256Hearing aid, digital, monaural, ite21$570.88
V5257Hearing aid, digital, monaural, bte21$559.67
V5258Hearing aid, digital, binaural, cic17$1,060.45
V5259Hearing aid, digital, binaural, itc17$1,060.45
V5260Hearing aid, digital, binaural, ite22$1,095.12
V5261Hearing aid, digital, binaural, bte24$1,095.70
V5264Ear mold/insert, not disposable, any type32$39.44
V5265Ear mold/insert, disposable, any type7$35.00
V5266Battery for use in hearing device32$1.47
V5267Hearing aid or assistive listening...11$36.80
V5275Ear impression, each15$23.71
V5299Hearing service, miscellaneous8$26.77
Vision & hearing rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.
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