The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Utah hearing schedule has 40 codes.
- Every code on all 51 published schedules
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Published codes
40
Hearing procedures on the 2023 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
36
codes flagged by the state
Common hearing procedures and what Utah Medicaid pays
A curated sample of recognizable procedures from the 40-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 | Utah rate | % of Medicare |
|---|---|---|---|
| V5257 | Hearing aid, digital, monaural, bte | $600.00* | -- |
| V5264 | Ear mold/insert, not disposable, any type | $38.00* | -- |
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 Utah Medicaid fee schedules
- Utah physician fee schedule · 6,362 codes
- Utah lab & imaging fee schedule · 1,885 codes
- Utah dme & supplies fee schedule · 1,646 codes
- Utah drugs fee schedule · 739 codes
- Utah other services fee schedule · 626 codes
- Utah vision fee schedule · 122 codes
Hearing rates in neighboring states
Frequently asked questions
What does Utah Medicaid pay for hearing services and devices?
Utah Medicaid publishes 40 hearing procedure rates effective 2023 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 Utah'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 Utah?
Utah publishes prior-authorization flags on its schedule: 36 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 Utah's published Medicaid fee-for-service schedule (effective 2023), 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 Utah changes these rates.