The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92355. 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
$13.68 - $123.07
92355 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $13.68 | -- | -- | 2026 |
| Arizona | $21.97 | -- | -- | 2025 |
| Colorado | $43.71 | -- | Required | 2026 |
| Connecticut | $100.77 | -- | -- | 2008 |
| Iowa | $70.10 | -- | -- | 2024 |
| Idaho | $123.07 | -- | Not required | 2025 |
| Massachusetts | $16.54 | -- | -- | 2026 |
| Maine | $15.43 | -- | -- | 2026 |
| Minnesota | $18.01 | -- | -- | 2026 |
| Mississippi | $15.91 | -- | -- | 2020 |
| Nevada | $19.57 | -- | -- | 2024 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $21.01 | -- | -- | 2024 |
| Utah | $17.23* | -- | Not required | 2026 |
| Washington | $14.71 | -- | -- | 2026 |
| Wisconsin | $51.28 | -- | -- | 2008 |
| West Virginia | $15.13 | -- | -- | 2026 |
| Wyoming | $18.33* | -- | -- | 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 92355?
18 state Medicaid programs publish a fee-for-service rate for 92355 (low vision aid fitting, telescopic), ranging from $13.68 in Alabama to $123.07 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92355?
Idaho publishes the highest Medicaid rate for 92355 at $123.07. Alabama publishes the lowest at $13.68.
Does 92355 require prior authorization under Medicaid?
1 of the 18 publishing states flag 92355 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".