The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92065. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
39
Median % of Medicare
86.7%
Rate range
$15.70 - $94.58
92065 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $70.69 | 184% | -- | 2026 |
| Alabama | $29.00 | 75.5% | -- | 2026 |
| Arkansas | $45.23 | 117.8% | -- | 2026 |
| Arizona | $41.14 | 107.1% | -- | 2025 |
| Colorado | $57.39 | 149.4% | -- | 2026 |
| Connecticut | $24.27 | 63.2% | -- | 2026 |
| District of Columbia | $33.90 | 88.3% | Not required | 2026 |
| Delaware | $37.54 | 97.7% | -- | 2026 |
| Georgia | $30.71 | 80% | -- | 2026 |
| Iowa | $27.85 | 72.5% | -- | 2024 |
| Idaho | $94.58 | 246.2% | Not required | 2025 |
| Illinois | $29.53 | 76.9% | -- | 2024 |
| Indiana | $37.60 | 97.9% | -- | 2025 |
| Kentucky | $32.71 | 85.2% | -- | 2026 |
| Louisiana | $33.30 | 86.7% | -- | 2026 |
| Massachusetts | $30.91 | 80.5% | -- | 2026 |
| Maine | $26.85 | 69.9% | -- | 2026 |
| Michigan | $24.50 | 63.8% | -- | 2026 |
| Minnesota | $29.58 | 77% | -- | 2026 |
| Missouri | $39.45 | 102.7% | Varies | 2022 |
| Montana | $38.47 | 100.2% | -- | 2026 |
| North Carolina | $33.74 | 87.8% | -- | 2025 |
| North Dakota | $42.81 | 111.5% | Not required | 2026 |
| Nebraska | $58.66 | 152.7% | -- | 2026 |
| New Jersey | $30.27 | 78.8% | Required | 2026 |
| Nevada | $49.98 | 130.1% | -- | 2024 |
| New York | $46.92 | 122.2% | -- | 2026 |
| Ohio | $15.70 | 40.9% | -- | 2024 |
| Oklahoma | $34.37 | 89.5% | -- | 2026 |
| Oregon | $31.19* | 81.2% | -- | 2026 |
| Pennsylvania | $32.27 | 84% | -- | 2023 |
| Rhode Island | $90.67 | -- | -- | 2026 |
| Texas | $43.57* | 113.4% | -- | 2016 |
| Virginia | $33.28* | 86.6% | -- | 2026 |
| Vermont | $32.38 | 84.3% | -- | 2026 |
| Washington | $23.12 | 60.2% | -- | 2026 |
| Wisconsin | $26.35 | 68.6% | -- | 2008 |
| West Virginia | $26.35 | 68.6% | -- | 2026 |
| Wyoming | $34.57* | 90% | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related vision codes
- 92002 - Eye exam, new patient, intermediate
- 92004 - Eye exam, new patient, comprehensive
- 92012 - Eye exam, established patient, intermediate
- 92014 - Eye exam, established patient, comprehensive
- 92015 - Determination of eyeglass prescription (refraction)
- 92018 - Eye exam under general anesthesia, complete
- 92019 - Eye exam under general anesthesia, limited
- 92020 - Gonioscopy (eye drainage angle exam)
Frequently asked questions
How much does Medicaid pay for 92065?
39 state Medicaid programs publish a fee-for-service rate for 92065 (eye muscle exercise training (orthoptics)), ranging from $15.70 in Ohio to $94.58 in Idaho, with a median of 86.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92065?
Idaho publishes the highest Medicaid rate for 92065 at $94.58 (246.2% of the national Medicare amount). Ohio publishes the lowest at $15.70.
Does 92065 require prior authorization under Medicaid?
1 of the 39 publishing states flag 92065 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".