North Dakota Medicaid Hearing Fee Schedule 2026

North Dakota Medicaid publishes 38 hearing procedure rates effective 2026 on its fee-for-service schedule. This page shows published rates for common hearing procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full North Dakota hearing schedule has 38 codes.

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Published codes

38

Hearing procedures on the 2026 schedule

Median % of Medicare

--

no national Medicare comparator for this category

PA required

26

codes flagged by the state

Common hearing procedures and what North Dakota Medicaid pays

A curated sample of recognizable procedures from the 38-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.

CodeProcedureNorth Dakota rate% of Medicare
V5257Hearing aid, digital, monaural, bte$631.72--
V5264Ear mold/insert, not disposable, any type$79.05--

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 North Dakota Medicaid fee schedules

Hearing rates in neighboring states

Frequently asked questions

What does North Dakota Medicaid pay for hearing services and devices?

North Dakota Medicaid publishes 38 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 North Dakota'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 North Dakota?

North Dakota publishes prior-authorization flags on its schedule: 26 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 North Dakota'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 North Dakota changes these rates.