The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maryland vision schedule has 7 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Published codes
7
Vision procedures on the 2026 schedule
Median % of Medicare
75.4%
vs national Medicare, GPCI-neutral
PA required
1
codes flagged by the state
Maryland publishes fee schedules for two carve-outs: durable medical equipment (with prosthetics, orthotics, and supplies), and behavioral health, which runs fee-for-service through the state's Public Behavioral Health System with rates published by credential tier (psychiatrist, psychiatric NP, psychologist, licensed counselors), plus OMHC, SUD program, and ABA schedules. Other medical categories are paid through managed care and are not published as FFS rates.
Common vision procedures and what Maryland Medicaid pays
A curated sample of recognizable procedures from the 7-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 | Maryland rate | % of Medicare |
|---|
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.
This table is the common-procedure sample. Every Maryland vision code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More Maryland Medicaid fee schedules
- Maryland fee schedule overview
- Maryland dme & supplies fee schedule · 1,785 codes
- Maryland physician fee schedule · 64 codes
- Maryland other services fee schedule · 44 codes
- Maryland behavioral health fee schedule · 37 codes
- Maryland drugs fee schedule · 6 codes
Vision rates in neighboring states
Frequently asked questions
What does Maryland Medicaid pay for vision services and eyewear?
Maryland Medicaid publishes 7 vision procedure rates effective 2026, paying a median 75.4% 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 Maryland's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Maryland Medicaid pays a median 75.4% 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 Maryland?
Maryland publishes prior-authorization flags on its schedule: 1 vision codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Maryland'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.