The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92326. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
33
Median % of Medicare
86.3%
Rate range
$20.02 - $90.67
92326 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $31.00 | 79.3% | -- | 2026 |
| Arizona | $39.05 | 99.9% | -- | 2025 |
| Colorado | $34.15 | 87.4% | -- | 2026 |
| Connecticut | $37.17 | 95.1% | -- | 2008 |
| District of Columbia | $36.81 | 94.2% | Not required | 2026 |
| Hawaii | $44.94 | 115% | -- | 2025 |
| Iowa | $29.81 | 76.3% | -- | 2024 |
| Indiana | $35.48 | 90.8% | -- | 2025 |
| Kansas | $35.71 | 91.4% | -- | 2023 |
| Massachusetts | $31.00 | 79.3% | -- | 2026 |
| Maine | $25.96 | 66.4% | -- | 2026 |
| Michigan | $24.92 | 63.8% | -- | 2026 |
| Minnesota | $30.61 | 78.3% | Conditional | 2026 |
| Mississippi | $29.37 | 75.2% | -- | 2020 |
| Montana | $52.22 | 133.6% | Required | 2026 |
| North Carolina | $36.13 | 92.5% | -- | 2025 |
| North Dakota | $43.56 | 111.5% | Required | 2026 |
| Nebraska | $43.87 | 112.3% | -- | 2026 |
| New Hampshire | $32.06 | 82% | Not required | 2026 |
| New Jersey | $39.86 | 102% | Required | 2026 |
| Nevada | $33.74 | 86.3% | -- | 2024 |
| New York | $65.65 | 168% | -- | 2026 |
| Ohio | $32.76 | 83.8% | -- | 2024 |
| Oklahoma | $32.58 | 83.4% | -- | 2026 |
| Oregon | $31.83* | 81.4% | -- | 2026 |
| Rhode Island | $90.67 | -- | -- | 2026 |
| South Carolina | $20.02 | 51.2% | -- | 2024 |
| Texas | $31.54* | 80.7% | -- | 2025 |
| Utah | $28.83* | 73.8% | Required | 2026 |
| Virginia | $33.85* | 86.6% | -- | 2026 |
| Wisconsin | $54.16 | 138.6% | -- | 2008 |
| West Virginia | $24.89 | 63.7% | -- | 2026 |
| Wyoming | $33.41* | 85.5% | -- | 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 92326?
33 state Medicaid programs publish a fee-for-service rate for 92326 (contact lens replacement), ranging from $20.02 in South Carolina to $90.67 in Rhode Island, with a median of 86.3% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92326?
Rhode Island publishes the highest Medicaid rate for 92326 at $90.67. South Carolina publishes the lowest at $20.02.
Does 92326 require prior authorization under Medicaid?
5 of the 33 publishing states flag 92326 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".