The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92342. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
34
Median % of Medicare
--
Rate range
$12.36 - $119.03
92342 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $73.41 | -- | -- | 2026 |
| Alabama | $14.40 | -- | -- | 2026 |
| Arizona | $43.93 | -- | -- | 2025 |
| California | $21.88 | -- | -- | 2026 |
| Colorado | $33.75 | -- | -- | 2026 |
| Connecticut | $28.96 | -- | -- | 2008 |
| District of Columbia | $39.46 | -- | Not required | 2026 |
| Florida | $17.69 | -- | -- | 2026 |
| Georgia | $37.36 | -- | -- | 2026 |
| Hawaii | $26.23 | -- | -- | 2025 |
| Iowa | $34.27 | -- | -- | 2024 |
| Idaho | $22.68 | -- | Not required | 2025 |
| Kentucky | $39.00 | -- | -- | 2026 |
| Louisiana | $12.36 | -- | -- | 2026 |
| Massachusetts | $40.80 | -- | -- | 2025 |
| Maine | $29.94 | -- | -- | 2026 |
| Michigan | $27.90 | -- | -- | 2026 |
| Minnesota | $33.70 | -- | -- | 2026 |
| Mississippi | $22.47 | -- | -- | 2023 |
| Montana | $58.08 | -- | -- | 2026 |
| North Carolina | $12.83 | -- | -- | 2025 |
| North Dakota | $48.44 | -- | Not required | 2026 |
| Nebraska | $119.03 | -- | -- | 2026 |
| New Hampshire | $17.52 | -- | Not required | 2026 |
| Nevada | $40.64 | -- | -- | 2024 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $34.52 | -- | -- | 2024 |
| Oklahoma | $38.20 | -- | -- | 2026 |
| South Carolina | $27.97 | -- | -- | 2024 |
| Vermont | $36.65 | -- | -- | 2026 |
| Washington | $26.56 | -- | -- | 2026 |
| Wisconsin | $30.00 | -- | -- | 2008 |
| West Virginia | $29.52 | -- | -- | 2026 |
| Wyoming | $39.89* | -- | -- | 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 92342?
34 state Medicaid programs publish a fee-for-service rate for 92342 (eyeglass fitting, multifocal), ranging from $12.36 in Louisiana to $119.03 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92342?
Nebraska publishes the highest Medicaid rate for 92342 at $119.03. Louisiana publishes the lowest at $12.36.
Does 92342 require prior authorization under Medicaid?
No publishing state flags 92342 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.