Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92499. 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
17
Median % of Medicare
--
Rate range
$3.50 - $208.00
92499 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $50.00 | -- | -- | 2026 |
| Arizona | $17.89 | -- | -- | 2021 |
| District of Columbia | $208.00 | -- | Not required | 2018 |
| Florida | $59.14 | -- | Required | 2026 |
| Hawaii | $65.23 | -- | -- | 2025 |
| Iowa | $14.16 | -- | -- | 2021 |
| Idaho | $58.77 | -- | Not required | 2025 |
| Indiana | $18.45 | -- | -- | 2026 |
| Kentucky | $3.50* | -- | -- | 2026 |
| Maine | $15.68 | -- | -- | 2026 |
| Michigan | $15.45 | -- | -- | 2026 |
| Missouri | $26.07 | -- | Not required | 2026 |
| Mississippi | $21.96 | -- | -- | 2026 |
| Montana | $120.59 | -- | -- | 2026 |
| New Mexico | $52.04 | -- | -- | 2026 |
| Rhode Island | $62.73 | -- | -- | 2026 |
| Utah | $14.18* | -- | Not required | 2024 |
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 92499?
17 state Medicaid programs publish a fee-for-service rate for 92499 (unlisted eye service), ranging from $3.50 in Kentucky to $208.00 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92499?
District of Columbia publishes the highest Medicaid rate for 92499 at $208.00. Kentucky publishes the lowest at $3.50.
Does 92499 require prior authorization under Medicaid?
1 of the 17 publishing states flag 92499 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".