V5030 Medicaid Rate by State

Hearing aid, monaural, body worn, air conduction

25 state Medicaid programs publish a fee-for-service rate for V5030 (hearing aid, monaural, body worn, air conduction), ranging from $0.01 in California to $873.00 in South Carolina.

Every state, kept current

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This page shows one representative rate per state for V5030. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

25

Median % of Medicare

--

Rate range

$0.01 - $873.00

V5030 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
California$0.01----2026
Connecticut$350.00----2007
District of Columbia$325.00--Not required1995
Hawaii$442.00----2025
Idaho$542.76--Not required2025
Illinois$376.00----2026
Indiana$846.05--Required2025
Kansas$250.00----2006
Louisiana$553.73----2026
Maine$428.40----2026
Michigan$450.00*--Required2026
Missouri$396.64*--Varies2019
Mississippi$286.00----2020
Montana$530.22*--Required2026
North Dakota$631.72--Required2026
Nebraska$859.27----2026
New Hampshire$425.18--Not required2026
New Mexico$74.81----2025
Nevada$350.00----2004
Ohio$356.48----2024
Oklahoma$435.38----2020
South Carolina$873.00----2024
Utah$600.00*--Required2017
Virginia$550.00*----2008
Wisconsin$32.53*----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 V5030?

25 state Medicaid programs publish a fee-for-service rate for V5030 (hearing aid, monaural, body worn, air conduction), ranging from $0.01 in California to $873.00 in South Carolina. The full table on this page lists every publishing state's current rate.

Which state pays the most for V5030?

South Carolina publishes the highest Medicaid rate for V5030 at $873.00. California publishes the lowest at $0.01.

Does V5030 require prior authorization under Medicaid?

5 of the 25 publishing states flag V5030 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".