The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92353. 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
29
Median % of Medicare
--
Rate range
$13.05 - $119.03
92353 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $82.22 | -- | -- | 2026 |
| Alabama | $18.00 | -- | -- | 2026 |
| Arizona | $50.21 | -- | -- | 2025 |
| California | $15.90 | -- | -- | 2026 |
| Colorado | $18.44 | -- | -- | 2026 |
| Connecticut | $28.98 | -- | -- | 2008 |
| Florida | $16.78 | -- | -- | 2026 |
| Hawaii | $24.47 | -- | -- | 2025 |
| Iowa | $30.41 | -- | -- | 2024 |
| Idaho | $27.05 | -- | Not required | 2025 |
| Kentucky | $39.00 | -- | -- | 2026 |
| Massachusetts | $39.02 | -- | -- | 2026 |
| Maine | $34.32 | -- | -- | 2026 |
| Michigan | $32.16 | -- | -- | 2026 |
| Minnesota | $38.85 | -- | -- | 2026 |
| Mississippi | $21.04 | -- | -- | 2023 |
| North Carolina | $13.05 | -- | -- | 2025 |
| Nebraska | $119.03 | -- | -- | 2026 |
| New Hampshire | $31.92 | -- | Not required | 2026 |
| Nevada | $43.70 | -- | -- | 2024 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $29.06 | -- | -- | 2013 |
| Oklahoma | $43.67 | -- | -- | 2026 |
| Rhode Island | $62.73 | -- | -- | 2026 |
| South Carolina | $32.57 | -- | -- | 2024 |
| Washington | $30.96 | -- | -- | 2026 |
| Wisconsin | $28.85 | -- | -- | 2008 |
| West Virginia | $33.67 | -- | -- | 2026 |
| Wyoming | $43.49* | -- | -- | 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 92353?
29 state Medicaid programs publish a fee-for-service rate for 92353 (eyeglass fitting for aphakia, multifocal), ranging from $13.05 in North Carolina to $119.03 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92353?
Nebraska publishes the highest Medicaid rate for 92353 at $119.03. North Carolina publishes the lowest at $13.05.
Does 92353 require prior authorization under Medicaid?
No publishing state flags 92353 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.