The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Vermont hearing schedule has 37 codes.
- Every code on all 51 published schedules
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Published codes
37
Hearing procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Common hearing procedures and what Vermont Medicaid pays
A curated sample of recognizable procedures from the 37-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 | Vermont rate | % of Medicare |
|---|---|---|---|
| V5011 | Fitting/orientation/checking of hearing aid | $150.00 | -- |
| V5257 | Hearing aid, digital, monaural, bte | $450.00 | -- |
| 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 Vermont Medicaid fee schedules
- Vermont physician fee schedule · 6,514 codes
- Vermont dme & supplies fee schedule · 1,914 codes
- Vermont lab & imaging fee schedule · 1,880 codes
- Vermont drugs fee schedule · 746 codes
- Vermont anesthesia fee schedule · 274 codes
- Vermont other services fee schedule · 271 codes
Hearing rates in neighboring states
Frequently asked questions
What does Vermont Medicaid pay for hearing services and devices?
Vermont Medicaid publishes 37 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 Vermont'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 Vermont?
Vermont 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 Vermont'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 Vermont changes these rates.