The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Iowa vision schedule has 155 codes.
- Every code on all 51 published schedules
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Published codes
155
Vision procedures on the 2024 schedule
Median % of Medicare
49.6%
vs national Medicare, GPCI-neutral
Effective vintage
2024
latest effective year on the schedule
Common vision procedures and what Iowa Medicaid pays
A curated sample of recognizable procedures from the 155-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 | Iowa rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $49.99 | 58.9% |
| 92004 | Eye exam, new patient, comprehensive | $84.10 | 56.2% |
| 92012 | Eye exam, established patient, intermediate | $42.26 | 46.7% |
| 92014 | Eye exam, established patient, comprehensive | $61.34 | 48.2% |
| 92015 | Determination of eyeglass prescription (refraction) | $13.06 | -- |
| 92083 | Visual field examination, extended | $45.72 | 71.7% |
| 92134 | Retinal imaging (OCT scan) | $35.00 | 106.9% |
| 92250 | Photography of the back of the eye (fundus) | $47.31 | 127.6% |
| 92273 | Full-field electroretinography (ERG) | $55.67 | 45.2% |
| 92283 | Color vision examination, extended | $20.67 | 37.5% |
| V2020 | Frames, purchases | $21.76 | 24.6% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $11.07 | 20.3% |
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 Iowa Medicaid fee schedules
- Iowa physician fee schedule · 6,709 codes
- Iowa lab & imaging fee schedule · 2,057 codes
- Iowa dme & supplies fee schedule · 1,855 codes
- Iowa drugs fee schedule · 817 codes
- Iowa other services fee schedule · 193 codes
- Iowa behavioral health fee schedule · 42 codes
Vision rates in neighboring states
Frequently asked questions
What does Iowa Medicaid pay for vision services and eyewear?
Iowa Medicaid publishes 155 vision procedure rates effective 2024, paying a median 49.6% 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 Iowa's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Iowa Medicaid pays a median 49.6% 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 Iowa?
Iowa 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 Iowa's published Medicaid fee-for-service schedule (effective 2024), 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 Iowa changes these rates.