| Code | Description | States | Median rate |
|---|---|---|---|
| V5008 | Hearing screening | 17 | $20.00 |
| V5010 | Assessment for hearing aid | 18 | $39.21 |
| V5011 | Fitting/orientation/checking of hearing aid | 20 | $50.00 |
| V5014 | Repair/modification of a hearing aid | 20 | $150.21 |
| V5020 | Conformity evaluation | 11 | $56.36 |
| V5030 | Hearing aid, monaural, body worn, air conduction | 25 | $425.18 |
| V5040 | Hearing aid, monaural, body worn, bone conduction | 26 | $400.59 |
| V5050 | Hearing aid, monaural, in the ear | 28 | $425.18 |
| V5060 | Hearing aid, monaural, behind the ear | 30 | $382.02 |
| V5090 | Dispensing fee, unspecified hearing aid | 21 | $234.09 |
| V5100 | Hearing aid, bilateral, body worn | 13 | $700.00 |
| V5110 | Dispensing fee, bilateral | 15 | $348.12 |
| V5120 | Binaural, body | 16 | $726.00 |
| V5130 | Binaural, in the ear | 24 | $830.09 |
| V5140 | Binaural, behind the ear | 26 | $878.40 |
| V5160 | Dispensing fee, binaural | 31 | $305.55 |
| V5171 | Hearing aid, contralateral routing device, monaural, in the ear (ite) | 19 | $553.73 |
| V5172 | Hearing aid, contralateral routing device, monaural, in the canal (itc) | 17 | $450.00 |
| V5181 | Hearing aid, contralateral routing device, monaural, behind the ear (bte) | 18 | $551.87 |
| V5190 | Hearing aid, contralateral routing, monaural, glasses | 10 | $550.00 |
| V5200 | Dispensing fee, contralateral, monaural | 25 | $261.98 |
| V5211 | Hearing aid, contralateral routing system, binaural, ite/ite | 18 | $857.27 |
| V5212 | Hearing aid, contralateral routing system, binaural, ite/itc | 16 | $900.00 |
| V5213 | Hearing aid, contralateral routing system, binaural, ite/bte | 17 | $801.61 |
| V5214 | Hearing aid, contralateral routing system, binaural, itc/itc | 17 | $900.00 |
| V5215 | Hearing aid, contralateral routing system, binaural, itc/bte | 17 | $900.00 |
| V5221 | Hearing aid, contralateral routing system, binaural, bte/bte | 19 | $836.33 |
| V5230 | Hearing aid, contralateral routing system, binaural, glasses | 11 | $551.87 |
| V5240 | Dispensing fee, contralateral routing system, binaural | 27 | $278.04 |
| V5241 | Dispensing fee, monaural hearing aid, any type | 28 | $231.49 |
| V5243 | Hearing aid, analog, monaural, itc (in the canal) | 11 | $425.18 |
| V5244 | Hearing aid, digitally programmable analog, monaural, cic | 11 | $427.17 |
| V5245 | Hearing aid, digitally programmable, analog, monaural, itc | 12 | $450.00 |
| V5246 | Hearing aid, digitally programmable analog, monaural, ite (in the ear) | 14 | $450.00 |
| V5247 | Hearing aid, digitally programmable analog, monaural, bte (behind the ear) | 15 | $413.00 |
| V5248 | Hearing aid, analog, binaural, cic | 10 | $801.69 |
| V5249 | Hearing aid, analog, binaural, itc | 12 | $803.37 |
| V5250 | Hearing aid, digitally programmable analog, binaural, cic | 10 | $900.00 |
| V5251 | Hearing aid, digitally programmable analog, binaural, itc | 13 | $1,095.12 |
| V5252 | Hearing aid, digitally programmable, binaural, ite | 14 | $900.00 |
| V5253 | Hearing aid, digitally programmable, binaural, bte | 16 | $1,060.45 |
| V5254 | Hearing aid, digital, monaural, cic | 17 | $518.47 |
| V5255 | Hearing aid, digital, monaural, itc | 18 | $518.47 |
| V5256 | Hearing aid, digital, monaural, ite | 22 | $549.32 |
| V5257 | Hearing aid, digital, monaural, bte | 23 | $559.67 |
| V5258 | Hearing aid, digital, binaural, cic | 19 | $1,053.73 |
| V5259 | Hearing aid, digital, binaural, itc | 20 | $1,057.09 |
| V5260 | Hearing aid, digital, binaural, ite | 24 | $1,034.19 |
| V5261 | Hearing aid, digital, binaural, bte | 26 | $1,061.03 |
| V5264 | Ear mold/insert, not disposable, any type | 36 | $40.00 |
| V5265 | Ear mold/insert, disposable, any type | 11 | $23.26 |
| V5266 | Battery for use in hearing device | 36 | $1.34 |
| V5275 | Ear impression, each | 17 | $23.49 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.