The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92134. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
47
Median % of Medicare
96.9%
Rate range
$13.63 - $58.77
92134 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $54.34 | 166% | -- | 2026 |
| Alabama | $32.59 | 99.6% | -- | 2026 |
| Arkansas | $56.03 | 171.2% | -- | 2026 |
| Arizona | $42.56 | 130% | -- | 2024 |
| California | $39.33 | 120.2% | -- | 2026 |
| Colorado | $39.08 | 119.4% | -- | 2026 |
| Connecticut | $28.50 | 87.1% | -- | 2011 |
| District of Columbia | $29.78 | 91% | Not required | 2026 |
| Delaware | $31.81 | 97.2% | -- | 2026 |
| Georgia | $37.77 | 115.4% | -- | 2026 |
| Hawaii | $43.66 | 133.4% | -- | 2025 |
| Iowa | $35.00 | 106.9% | -- | 2024 |
| Idaho | $26.48 | 80.9% | Not required | 2026 |
| Illinois | $25.71 | 78.6% | -- | 2024 |
| Indiana | $37.39 | 114.2% | -- | 2025 |
| Kansas | $24.08 | 73.6% | -- | 2024 |
| Kentucky | $38.87 | 118.8% | -- | 2026 |
| Louisiana | $31.73 | 96.9% | -- | 2026 |
| Massachusetts | $30.97 | 94.6% | -- | 2026 |
| Maine | $22.26 | 68% | -- | 2026 |
| Michigan | $20.87 | 63.8% | -- | 2026 |
| Minnesota | $25.21 | 77% | -- | 2026 |
| Missouri | $30.38 | 92.8% | Varies | 2022 |
| Mississippi | $44.80 | 136.9% | -- | 2026 |
| Montana | $44.05 | 134.6% | -- | 2026 |
| North Carolina | $35.88 | 109.6% | -- | 2025 |
| North Dakota | $36.42 | 111.3% | Not required | 2026 |
| Nebraska | $48.25 | 147.4% | -- | 2026 |
| New Hampshire | $22.22 | 67.9% | Not required | 2026 |
| New Jersey | $16.73 | 51.1% | Not required | 2026 |
| New Mexico | $56.26 | 171.9% | -- | 2025 |
| Nevada | $42.71 | 130.5% | -- | 2024 |
| New York | $35.74 | 109.2% | -- | 2026 |
| Ohio | $18.35 | 56.1% | -- | 2024 |
| Oklahoma | $28.32 | 86.5% | -- | 2026 |
| Oregon | $26.52* | 81% | -- | 2026 |
| Pennsylvania | $38.43 | 117.4% | -- | 2011 |
| Rhode Island | $58.77 | 179.6% | -- | 2026 |
| South Carolina | $26.55 | 81.1% | -- | 2024 |
| Texas | $13.63* | 41.6% | -- | 2023 |
| Utah | $24.62* | 75.2% | Not required | 2026 |
| Virginia | $28.36 | 86.6% | -- | 2026 |
| Vermont | $27.45 | 83.9% | -- | 2026 |
| Washington | $20.07 | 61.3% | -- | 2026 |
| Wisconsin | $32.08 | 98% | -- | 2011 |
| West Virginia | $21.72 | 66.4% | -- | 2026 |
| Wyoming | $28.09 | 85.8% | -- | 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)
- 92083 - Visual field examination, extended
- 92250 - Photography of the back of the eye (fundus)
- 92273 - Full-field electroretinography (ERG)
Frequently asked questions
How much does Medicaid pay for 92134?
47 state Medicaid programs publish a fee-for-service rate for 92134 (retinal imaging (OCT scan)), ranging from $13.63 in Texas to $58.77 in Rhode Island, with a median of 96.9% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92134?
Rhode Island publishes the highest Medicaid rate for 92134 at $58.77 (179.6% of the national Medicare amount). Texas publishes the lowest at $13.63.
Does 92134 require prior authorization under Medicaid?
No publishing state flags 92134 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.