The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92341. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
36
Median % of Medicare
--
Rate range
$11.61 - $101.47
92341 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $67.74 | -- | -- | 2026 |
| Alabama | $18.00 | -- | -- | 2026 |
| Arizona | $40.79 | -- | -- | 2025 |
| California | $15.90 | -- | -- | 2026 |
| Colorado | $31.42 | -- | -- | 2026 |
| Connecticut | $27.23 | -- | -- | 2008 |
| District of Columbia | $36.82 | -- | Not required | 2026 |
| Florida | $15.62 | -- | -- | 2026 |
| Georgia | $33.89 | -- | -- | 2026 |
| Hawaii | $23.09 | -- | -- | 2025 |
| Iowa | $31.04 | -- | -- | 2024 |
| Idaho | $22.68 | -- | Not required | 2025 |
| Illinois | $40.59 | -- | -- | 2025 |
| Kentucky | $38.00 | -- | -- | 2026 |
| Louisiana | $12.36 | -- | -- | 2026 |
| Massachusetts | $40.80 | -- | -- | 2025 |
| Maine | $27.82 | -- | -- | 2026 |
| Michigan | $25.99 | -- | -- | 2026 |
| Minnesota | $31.39 | -- | -- | 2026 |
| Mississippi | $19.86 | -- | -- | 2023 |
| Montana | $53.99 | -- | -- | 2026 |
| North Carolina | $11.61 | -- | -- | 2025 |
| North Dakota | $45.06 | -- | Not required | 2026 |
| Nebraska | $101.47 | -- | -- | 2026 |
| New Hampshire | $35.59 | -- | Not required | 2026 |
| New Mexico | $55.58 | -- | -- | 2025 |
| Nevada | $37.68 | -- | -- | 2024 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $31.02 | -- | -- | 2024 |
| Oklahoma | $35.49 | -- | -- | 2026 |
| South Carolina | $26.14 | -- | -- | 2024 |
| Vermont | $34.10 | -- | -- | 2026 |
| Washington | $24.84 | -- | -- | 2026 |
| Wisconsin | $30.00 | -- | -- | 2008 |
| West Virginia | $27.33 | -- | -- | 2026 |
| Wyoming | $37.02* | -- | -- | 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 92341?
36 state Medicaid programs publish a fee-for-service rate for 92341 (eyeglass fitting, bifocal), ranging from $11.61 in North Carolina to $101.47 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92341?
Nebraska publishes the highest Medicaid rate for 92341 at $101.47. North Carolina publishes the lowest at $11.61.
Does 92341 require prior authorization under Medicaid?
No publishing state flags 92341 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.