The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92354. 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
18
Median % of Medicare
--
Rate range
$9.17 - $254.05
92354 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $18.00 | -- | -- | 2026 |
| Arizona | $14.30 | -- | -- | 2025 |
| Colorado | $13.66 | -- | -- | 2026 |
| Connecticut | $207.90 | -- | -- | 2008 |
| Iowa | $136.96 | -- | -- | 2024 |
| Idaho | $254.05 | -- | Not required | 2025 |
| Massachusetts | $10.65 | -- | -- | 2026 |
| Maine | $9.72 | -- | -- | 2026 |
| Minnesota | $11.32 | -- | -- | 2026 |
| Mississippi | $10.18 | -- | -- | 2020 |
| Nevada | $12.83 | -- | -- | 2024 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $13.56 | -- | -- | 2024 |
| Utah | $10.83* | -- | Not required | 2026 |
| Washington | $9.17 | -- | -- | 2026 |
| Wisconsin | $38.77 | -- | -- | 2008 |
| West Virginia | $9.27 | -- | -- | 2026 |
| Wyoming | $15.09* | -- | -- | 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 92354?
18 state Medicaid programs publish a fee-for-service rate for 92354 (low vision aid fitting, single element), ranging from $9.17 in Washington to $254.05 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92354?
Idaho publishes the highest Medicaid rate for 92354 at $254.05. Washington publishes the lowest at $9.17.
Does 92354 require prior authorization under Medicaid?
No publishing state flags 92354 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.