The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Hampshire vision schedule has 153 codes.
- Every code on all 51 published schedules
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Published codes
153
Vision procedures on the 2026 schedule
Median % of Medicare
18.3%
vs national Medicare, GPCI-neutral
PA required
32
+1 conditional or varies
Common vision procedures and what New Hampshire Medicaid pays
A curated sample of recognizable procedures from the 153-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 | New Hampshire rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $44.97 | 53% |
| 92004 | Eye exam, new patient, comprehensive | $82.12 | 54.9% |
| 92012 | Eye exam, established patient, intermediate | $41.27 | 45.6% |
| 92014 | Eye exam, established patient, comprehensive | $64.66 | 50.8% |
| 92015 | Determination of eyeglass prescription (refraction) | $23.20 | -- |
| 92083 | Visual field examination, extended | $38.33 | 60.1% |
| 92134 | Retinal imaging (OCT scan) | $22.22 | 67.9% |
| 92250 | Photography of the back of the eye (fundus) | $19.71 | 53.2% |
| 92273 | Full-field electroretinography (ERG) | $73.62 | 59.7% |
| 92283 | Color vision examination, extended | $10.95 | 19.9% |
| 92340 | Fitting of eyeglasses, single vision | $26.55 | -- |
| V2020 | Frames, purchases | $7.00 | 7.9% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $7.00 | 12.8% |
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 New Hampshire Medicaid fee schedules
- New Hampshire physician fee schedule · 6,731 codes
- New Hampshire lab & imaging fee schedule · 1,997 codes
- New Hampshire dme & supplies fee schedule · 1,900 codes
- New Hampshire drugs fee schedule · 941 codes
- New Hampshire other services fee schedule · 327 codes
- New Hampshire behavioral health fee schedule · 65 codes
Vision rates in neighboring states
Frequently asked questions
What does New Hampshire Medicaid pay for vision services and eyewear?
New Hampshire Medicaid publishes 153 vision procedure rates effective 2026, paying a median 18.3% 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 New Hampshire's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, New Hampshire Medicaid pays a median 18.3% 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 New Hampshire?
New Hampshire publishes prior-authorization flags on its schedule: 32 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 New Hampshire'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.
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