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
- Full state Medicaid dental 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)
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.