The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Wisconsin hearing schedule has 47 codes.
- Every code on all 51 published schedules
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Published codes
47
Hearing procedures on the 2022 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2022
latest effective year on the schedule
Common hearing procedures and what Wisconsin Medicaid pays
A curated sample of recognizable procedures from the 47-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 | Wisconsin rate | % of Medicare |
|---|---|---|---|
| V5257 | Hearing aid, digital, monaural, bte | $32.53* | -- |
| V5264 | Ear mold/insert, not disposable, any type | $51.18 | -- |
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 Wisconsin Medicaid fee schedules
- Wisconsin physician fee schedule · 6,678 codes
- Wisconsin lab & imaging fee schedule · 2,101 codes
- Wisconsin dme & supplies fee schedule · 1,837 codes
- Wisconsin drugs fee schedule · 973 codes
- Wisconsin other services fee schedule · 263 codes
- Wisconsin vision fee schedule · 144 codes
Hearing rates in neighboring states
Frequently asked questions
What does Wisconsin Medicaid pay for hearing services and devices?
Wisconsin Medicaid publishes 47 hearing procedure rates effective 2022 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 Wisconsin'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 Wisconsin?
Wisconsin 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 Wisconsin's published Medicaid fee-for-service schedule (effective 2022), 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 Wisconsin changes these rates.