The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Oregon vision schedule has 51 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
51
Vision procedures on the 2026 schedule
Median % of Medicare
81.3%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Oregon publishes no code-level fee schedule for these services. The rates shown are computed from the state's own published methodology (CMS relative value units multiplied by the state's conversion factors) and are labeled as derived. No other public source lists Oregon Medicaid rates per code.
Common vision procedures and what Oregon Medicaid pays
A curated sample of recognizable procedures from the 51-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 | Oregon rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $68.99 | 81.3% |
| 92004 | Eye exam, new patient, comprehensive | $121.61 | 81.3% |
| 92012 | Eye exam, established patient, intermediate | $73.54 | 81.3% |
| 92014 | Eye exam, established patient, comprehensive | $103.39 | 81.2% |
| 92083 | Visual field examination, extended | $51.86 | 81.3% |
| 92134 | Retinal imaging (OCT scan) | $26.52 | 81% |
| 92250 | Photography of the back of the eye (fundus) | $30.06 | 81.1% |
| 92273 | Full-field electroretinography (ERG) | $100.30 | 81.4% |
| 92283 | Color vision examination, extended | $44.81 | 81.3% |
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 Oregon Medicaid fee schedules
- Oregon physician fee schedule · 6,988 codes
- Oregon lab & imaging fee schedule · 2,677 codes
- Oregon other services fee schedule · 372 codes
- Oregon dme & supplies fee schedule · 28 codes
- Oregon behavioral health fee schedule · 19 codes
Vision rates in neighboring states
Frequently asked questions
What does Oregon Medicaid pay for vision services and eyewear?
Oregon Medicaid publishes 51 vision procedure rates effective 2026, paying a median 81.3% 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 Oregon's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Oregon Medicaid pays a median 81.3% 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 Oregon?
Oregon 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 Oregon'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 Oregon changes these rates.