The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Mississippi vision schedule has 142 codes.
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Published codes
142
Vision procedures on the 2026 schedule
Median % of Medicare
36.1%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common vision procedures and what Mississippi Medicaid pays
A curated sample of recognizable procedures from the 142-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 | Mississippi rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $69.17 | 81.5% |
| 92004 | Eye exam, new patient, comprehensive | $124.27 | 83.1% |
| 92012 | Eye exam, established patient, intermediate | $72.55 | 80.2% |
| 92014 | Eye exam, established patient, comprehensive | $103.79 | 81.6% |
| 92015 | Determination of eyeglass prescription (refraction) | $15.90 | -- |
| 92083 | Visual field examination, extended | $101.04 | 158.4% |
| 92134 | Retinal imaging (OCT scan) | $44.80 | 136.9% |
| 92250 | Photography of the back of the eye (fundus) | $101.04 | 272.6% |
| 92273 | Full-field electroretinography (ERG) | $163.98 | 133% |
| 92283 | Color vision examination, extended | $44.80 | 81.3% |
| 92340 | Fitting of eyeglasses, single vision | $15.34 | -- |
| V2020 | Frames, purchases | $36.73 | 41.5% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $19.49 | 35.8% |
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 Mississippi Medicaid fee schedules
- Mississippi physician fee schedule · 6,554 codes
- Mississippi lab & imaging fee schedule · 2,698 codes
- Mississippi dme & supplies fee schedule · 1,696 codes
- Mississippi drugs fee schedule · 856 codes
- Mississippi other services fee schedule · 252 codes
- Mississippi behavioral health fee schedule · 35 codes
Vision rates in neighboring states
Frequently asked questions
What does Mississippi Medicaid pay for vision services and eyewear?
Mississippi Medicaid publishes 142 vision procedure rates effective 2026, paying a median 36.1% 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 Mississippi's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Mississippi Medicaid pays a median 36.1% 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 Mississippi?
Mississippi 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 Mississippi'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 Mississippi changes these rates.