The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Jersey hearing schedule has 11 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Published codes
11
Hearing procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
4
codes flagged by the state
Common hearing procedures and what New Jersey Medicaid pays
A curated sample of recognizable procedures from the 11-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 | New Jersey rate | % of Medicare |
|---|---|---|---|
| V5011 | Fitting/orientation/checking of hearing aid | $45.39 | -- |
| V5264 | Ear mold/insert, not disposable, any type | $36.46 | -- |
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 New Jersey Medicaid fee schedules
- New Jersey physician fee schedule · 6,804 codes
- New Jersey lab & imaging fee schedule · 2,234 codes
- New Jersey dme & supplies fee schedule · 1,751 codes
- New Jersey drugs fee schedule · 953 codes
- New Jersey other services fee schedule · 209 codes
- New Jersey vision fee schedule · 136 codes
Hearing rates in neighboring states
Frequently asked questions
What does New Jersey Medicaid pay for hearing services and devices?
New Jersey Medicaid publishes 11 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 New Jersey'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 New Jersey?
New Jersey publishes prior-authorization flags on its schedule: 4 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 New Jersey'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 New Jersey changes these rates.