The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92371. 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
25
Median % of Medicare
--
Rate range
$6.30 - $64.79
92371 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $64.79 | -- | -- | 2026 |
| Arizona | $12.20 | -- | -- | 2025 |
| California | $6.30 | -- | -- | 2026 |
| Colorado | $15.63 | -- | -- | 2026 |
| Connecticut | $14.74 | -- | -- | 2008 |
| District of Columbia | $11.94 | -- | Not required | 2026 |
| Hawaii | $13.57 | -- | -- | 2025 |
| Iowa | $7.50 | -- | -- | 2018 |
| Idaho | $18.19 | -- | Not required | 2025 |
| Kentucky | $16.31 | -- | -- | 2026 |
| Massachusetts | $9.31 | -- | -- | 2026 |
| Maine | $8.38 | -- | -- | 2026 |
| Michigan | $8.09 | -- | -- | 2026 |
| Minnesota | $9.77 | -- | -- | 2026 |
| Mississippi | $8.78 | -- | -- | 2020 |
| New Mexico | $16.18 | -- | -- | 2025 |
| Nevada | $10.80 | -- | -- | 2024 |
| New York | $7.07 | -- | -- | 2026 |
| Oklahoma | $10.56 | -- | -- | 2026 |
| Rhode Island | $62.73 | -- | -- | 2026 |
| Utah | $9.35* | -- | Not required | 2026 |
| Washington | $8.03 | -- | -- | 2026 |
| Wisconsin | $8.91 | -- | -- | 2008 |
| West Virginia | $8.05 | -- | -- | 2026 |
| Wyoming | $10.42* | -- | -- | 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 92371?
25 state Medicaid programs publish a fee-for-service rate for 92371 (eyeglass repair and refitting for aphakia), ranging from $6.30 in California to $64.79 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92371?
Alabama publishes the highest Medicaid rate for 92371 at $64.79. California publishes the lowest at $6.30.
Does 92371 require prior authorization under Medicaid?
No publishing state flags 92371 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.