The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Wyoming vision schedule has 141 codes.
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Published codes
141
Vision procedures on the 2026 schedule
Median % of Medicare
67.8%
vs national Medicare, GPCI-neutral
PA required
12
codes flagged by the state
Common vision procedures and what Wyoming Medicaid pays
A curated sample of recognizable procedures from the 141-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 | Wyoming rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $72.93 | 86% |
| 92004 | Eye exam, new patient, comprehensive | $128.38 | 85.8% |
| 92012 | Eye exam, established patient, intermediate | $76.64 | 84.7% |
| 92014 | Eye exam, established patient, comprehensive | $108.59 | 85.3% |
| 92015 | Determination of eyeglass prescription (refraction) | $19.05* | -- |
| 92083 | Visual field examination, extended | $54.88 | 86% |
| 92134 | Retinal imaging (OCT scan) | $28.09 | 85.8% |
| 92250 | Photography of the back of the eye (fundus) | $31.87 | 86% |
| 92273 | Full-field electroretinography (ERG) | $107.50 | 87.2% |
| 92283 | Color vision examination, extended | $47.31 | 85.8% |
| 92340 | Fitting of eyeglasses, single vision | $31.99* | -- |
| V2020 | Frames, purchases | $71.65* | 81% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $31.01* | 56.9% |
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 Wyoming Medicaid fee schedules
- Wyoming physician fee schedule · 6,432 codes
- Wyoming lab & imaging fee schedule · 1,913 codes
- Wyoming dme & supplies fee schedule · 1,867 codes
- Wyoming drugs fee schedule · 645 codes
- Wyoming other services fee schedule · 222 codes
- Wyoming behavioral health fee schedule · 45 codes
Vision rates in neighboring states
Frequently asked questions
What does Wyoming Medicaid pay for vision services and eyewear?
Wyoming Medicaid publishes 141 vision procedure rates effective 2026, paying a median 67.8% 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 Wyoming's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Wyoming Medicaid pays a median 67.8% 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 Wyoming?
Wyoming publishes prior-authorization flags on its schedule: 12 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 Wyoming'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 Wyoming changes these rates.