The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Montana hearing schedule has 46 codes.
- Every code on all 51 published schedules
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Published codes
46
Hearing procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
41
codes flagged by the state
Common hearing procedures and what Montana Medicaid pays
A curated sample of recognizable procedures from the 46-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Montana rate | % of Medicare |
|---|---|---|---|
| V5257 | Hearing aid, digital, monaural, bte | $530.22* | -- |
| V5264 | Ear mold/insert, not disposable, any type | $26.53 | -- |
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 * show the schedule's representative published variant.
More Montana Medicaid fee schedules
- Montana physician fee schedule · 7,001 codes
- Montana lab & imaging fee schedule · 2,711 codes
- Montana dme & supplies fee schedule · 1,843 codes
- Montana drugs fee schedule · 895 codes
- Montana other services fee schedule · 726 codes
- Montana anesthesia fee schedule · 275 codes
Hearing rates in neighboring states
Frequently asked questions
What does Montana Medicaid pay for hearing services and devices?
Montana Medicaid publishes 46 hearing procedure rates effective 2026 on its fee-for-service schedule. The schedule covers hearing tests, hearing aids, and ear molds. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Montana's hearing rates compare with Medicare?
Most hearing codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do hearing services need prior authorization in Montana?
Montana publishes prior-authorization flags on its schedule: 41 hearing codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Montana's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Montana changes these rates.