The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Pennsylvania hearing schedule has 24 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
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Published codes
24
Hearing procedures on the 2019 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2019
latest effective year on the schedule
Common hearing procedures and what Pennsylvania Medicaid pays
A curated sample of recognizable procedures from the 24-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 | Pennsylvania rate | % of Medicare |
|---|---|---|---|
| V5264 | Ear mold/insert, not disposable, any type | $40.00 | -- |
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 Pennsylvania Medicaid fee schedules
- Pennsylvania physician fee schedule · 4,676 codes
- Pennsylvania lab & imaging fee schedule · 1,500 codes
- Pennsylvania dme & supplies fee schedule · 1,408 codes
- Pennsylvania other services fee schedule · 62 codes
- Pennsylvania vision fee schedule · 40 codes
- Pennsylvania behavioral health fee schedule · 26 codes
Hearing rates in neighboring states
Frequently asked questions
What does Pennsylvania Medicaid pay for hearing services and devices?
Pennsylvania Medicaid publishes 24 hearing procedure rates effective 2019 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 Pennsylvania'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 Pennsylvania?
Pennsylvania does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Pennsylvania's published Medicaid fee-for-service schedule (effective 2019), 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 Pennsylvania changes these rates.