V5020 Medicaid Rate by State

Conformity evaluation

11 state Medicaid programs publish a fee-for-service rate for V5020 (conformity evaluation), ranging from $10.10 in New York to $300.00 in Virginia.

Every state, kept current

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This page shows one representative rate per state for V5020. Full schedules include every locality, modifier, and age-band variant.

  • Every code on all 51 published schedules
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Publishing states

11

Median % of Medicare

--

Rate range

$10.10 - $300.00

V5020 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$80.00----2026
Indiana$65.59----2025
Kentucky$47.12----1990
Massachusetts$90.94----2025
Mississippi$24.40----1994
North Dakota$36.06--Not required2026
Nebraska$24.81*----2026
New Hampshire$32.85--Not required2026
New York$10.10----2026
Virginia$300.00----2011
Wyoming$81.38----2022

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 hearing codes

All 53 codes from V5008 to V5275 or every hearing code by number.

Frequently asked questions

How much does Medicaid pay for V5020?

11 state Medicaid programs publish a fee-for-service rate for V5020 (conformity evaluation), ranging from $10.10 in New York to $300.00 in Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for V5020?

Virginia publishes the highest Medicaid rate for V5020 at $300.00. New York publishes the lowest at $10.10.

Does V5020 require prior authorization under Medicaid?

No publishing state flags V5020 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.