The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92370. 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
$29/mo after the trial. Cancel anytime.
Publishing states
36
Median % of Medicare
--
Rate range
$4.20 - $51.07
92370 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $51.07 | -- | -- | 2026 |
| Alabama | $5.26 | -- | -- | 2026 |
| Arkansas | $34.51 | -- | -- | 2026 |
| Arizona | $31.03 | -- | -- | 2025 |
| California | $6.30 | -- | -- | 2026 |
| Colorado | $19.42 | -- | -- | 2026 |
| Connecticut | $19.86 | -- | -- | 2008 |
| District of Columbia | $27.90 | -- | Not required | 2026 |
| Georgia | $23.43 | -- | -- | 2026 |
| Hawaii | $15.62 | -- | -- | 2025 |
| Iowa | $15.00 | -- | -- | 2018 |
| Idaho | $4.20 | -- | Not required | 2025 |
| Illinois | $4.63 | -- | -- | 2026 |
| Indiana | $28.00 | -- | -- | 2025 |
| Kansas | $7.14 | -- | -- | 1998 |
| Kentucky | $29.00 | -- | -- | 2026 |
| Massachusetts | $12.07 | -- | -- | 2025 |
| Maine | $20.92 | -- | -- | 2026 |
| Michigan | $19.60 | -- | -- | 2026 |
| Minnesota | $23.67 | -- | -- | 2026 |
| Missouri | $15.46 | -- | Required | 2019 |
| Montana | $19.54 | -- | -- | 2026 |
| North Carolina | $7.15 | -- | -- | 2025 |
| North Dakota | $34.17 | -- | Required | 2026 |
| Nebraska | $27.42 | -- | -- | 2026 |
| New Hampshire | $16.43 | -- | Not required | 2026 |
| New Mexico | $42.29 | -- | -- | 2025 |
| Nevada | $28.83 | -- | -- | 2024 |
| New York | $7.07 | -- | -- | 2026 |
| Oklahoma | $26.64 | -- | -- | 2026 |
| South Carolina | $19.92 | -- | -- | 2024 |
| Vermont | $25.75 | -- | -- | 2026 |
| Washington | $18.73 | -- | -- | 2026 |
| Wisconsin | $8.91 | -- | -- | 2008 |
| West Virginia | $20.50 | -- | -- | 2026 |
| Wyoming | $28.39* | -- | -- | 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 92370?
36 state Medicaid programs publish a fee-for-service rate for 92370 (eyeglass repair and refitting), ranging from $4.20 in Idaho to $51.07 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92370?
Alaska publishes the highest Medicaid rate for 92370 at $51.07. Idaho publishes the lowest at $4.20.
Does 92370 require prior authorization under Medicaid?
2 of the 36 publishing states flag 92370 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".