Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92358. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
19
Median % of Medicare
--
Rate range
$7.81 - $46.87
92358 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $17.10 | -- | -- | 2026 |
| Alabama | $31.50 | -- | -- | 2026 |
| Arizona | $11.85 | -- | -- | 2025 |
| Colorado | $46.87 | -- | -- | 2026 |
| Connecticut | $23.42 | -- | -- | 2008 |
| Hawaii | $13.19 | -- | -- | 2025 |
| Iowa | $19.55 | -- | -- | 2024 |
| Idaho | $28.90 | -- | Not required | 2025 |
| Massachusetts | $8.77 | -- | -- | 2026 |
| Maine | $8.16 | -- | -- | 2026 |
| Minnesota | $9.52 | -- | -- | 2026 |
| Mississippi | $8.51 | -- | -- | 2020 |
| New Mexico | $19.23 | -- | -- | 2023 |
| Nevada | $10.80 | -- | -- | 2024 |
| New York | $16.05 | -- | -- | 2026 |
| Ohio | $11.18 | -- | -- | 2024 |
| Oklahoma | $10.29 | -- | -- | 2026 |
| Utah | $9.11* | -- | Not required | 2026 |
| West Virginia | $7.81 | -- | -- | 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)
All 55 codes from 92002 to 92499 or every vision code by number.
Frequently asked questions
How much does Medicaid pay for 92358?
19 state Medicaid programs publish a fee-for-service rate for 92358 (temporary aphakia prosthesis service), ranging from $7.81 in West Virginia to $46.87 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92358?
Colorado publishes the highest Medicaid rate for 92358 at $46.87. West Virginia publishes the lowest at $7.81.
Does 92358 require prior authorization under Medicaid?
No publishing state flags 92358 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.