The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Arizona vision schedule has 169 codes.
- Every code on all 51 published schedules
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Published codes
169
Vision procedures on the 2026 schedule
Median % of Medicare
100.2%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common vision procedures and what Arizona Medicaid pays
A curated sample of recognizable procedures from the 169-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 | Arizona rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $89.16 | 105.1% |
| 92004 | Eye exam, new patient, comprehensive | $155.03 | 103.6% |
| 92012 | Eye exam, established patient, intermediate | $92.07 | 101.7% |
| 92014 | Eye exam, established patient, comprehensive | $130.65 | 102.7% |
| 92015 | Determination of eyeglass prescription (refraction) | $20.74 | -- |
| 92083 | Visual field examination, extended | $64.50 | 101.1% |
| 92134 | Retinal imaging (OCT scan) | $42.56 | 130% |
| 92250 | Photography of the back of the eye (fundus) | $38.21 | 103.1% |
| 92273 | Full-field electroretinography (ERG) | $130.29 | 105.7% |
| 92283 | Color vision examination, extended | $55.44 | 100.6% |
| 92340 | Fitting of eyeglasses, single vision | $35.67 | -- |
| V2020 | Frames, purchases | $95.32 | 107.8% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $44.67 | 82% |
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 Arizona Medicaid fee schedules
- Arizona physician fee schedule · 7,494 codes
- Arizona lab & imaging fee schedule · 2,817 codes
- Arizona dme & supplies fee schedule · 2,108 codes
- Arizona drugs fee schedule · 1,154 codes
- Arizona other services fee schedule · 633 codes
- Arizona anesthesia fee schedule · 281 codes
Vision rates in neighboring states
Frequently asked questions
What does Arizona Medicaid pay for vision services and eyewear?
Arizona Medicaid publishes 169 vision procedure rates effective 2026, paying a median 100.2% of the national Medicare amount for the same services. The schedule covers eye exams, refractions, frames, and lenses. 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 Arizona's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Arizona Medicaid pays a median 100.2% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do vision services need prior authorization in Arizona?
Arizona 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 Arizona'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 Arizona changes these rates.