Medicaid Reimbursement Fees For Hearing Aids
Dispensing Fees (Effective July 1, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5090 |
Dispensing Fee, Unspecified Hearing Aid |
$200.00 |
R-V5110 |
Dispensing Fee, Bilateral |
$250.00 |
R-V5160 |
Dispensing Fee, Binaural |
$270.00 |
R-V5200 |
Dispensing Fee, CROS |
$270.00 |
R-V5240 |
Dispensing Fee, BICROS |
$270.00 |
R-V5241 |
Dispensing Fee, Monaural Hearing Aid, Any Type |
$215.00 |
Monaural Hearing Aid Reimbursement Fees (Effective July 1, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5030 |
Monaural, Body Worn, Air Conduction |
$1,650.34 |
R-V5040 |
Hearind Aid, Monaural, Body Worn, Bone Conduction |
$1,300.00 |
R-V5170 |
Hearing Aid, CROS, ITE |
$2,500.00 |
R-V5180 |
Hearing Aid, CROS, BTE |
$900.00 |
R-V5244 |
Hearing Aid, Digitally Programmable Analog, Monaural, CIC |
$2,253.75 |
R-V5245 |
Hearing Aid, Digitally Programmable Analog, Monaural, ITC |
$1,800.00 |
R-V5246 |
Hearing Aid, Digitally Programmable Analog, Monaural, ITE |
$2,042.50 |
R-V5247 |
Hearing Aid, Digitally Programmable Analog, Monaural, BTE |
$1,957.25 |
R-V5254 |
Hearing Aid, Digital, Monaural, CIC |
$2,650.00 |
R-V5255 |
Hearing Aid, Digital, Monaural, ITC |
$2,200.00 |
R-V5256 |
Hearing Aid, Digital, Monaural, ITE |
$2,100.00 |
R-V5257 |
Hearing Aid, Digital, Monaural, BTE |
$2,450.00 |
| *Modifier LT (left) or modifier RT (right) must be included on the claim with the hearing aid procedure code. |
Binaural Hearing Aid Reimbursement Fees (Effective July 1, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5100 |
Hearing Aid, Bilateral, Body Worn |
$2,392.77 |
R-V5210 |
Hearing Aid, BICROS, ITE |
$1,000.00 |
R-V5220 |
Hearing Aid, BICROS, BTE |
$2,500.00 |
R-V5249 |
Hearing Aid, Analog, Binaural, ITC |
$1,850.00 |
R-V5250 |
Hearing Aid, Digitally Programmable Analog, Binaural, CIC |
$2,557.50 |
R-V5251 |
Hearing Aid, Digitally Programmable Analog, Binaural, ITC |
$2,392.82 |
R-V5252 |
Hearing Aid, Digitally Programmable, Binaural, ITE |
$2,495.00 |
R-V5253 |
Hearing Aid, Digitally Programmable, Binaural, BTE |
$3,380.00 |
R-V5258 |
Hearing Aid, Digital, Binaural, CIC |
$4,306.00 |
R-V5259 |
Hearing Aid, Digital, Binaural, ITC |
$3,575.00 |
R-V5260 |
Hearing Aid, Digital, Binaural, ITE |
$3,412.00 |
R-V5261 |
Hearing Aid, Digital, Binaural, BTE |
$3,981.00 |
Earmold/Insert Fees (Effective July 1, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5264 |
Earmold/Insert, Not Disposable, Any Type |
$67.50 |
R-V5265 |
Earmold/Insert, Disposable, Any Type |
$60.00 |
R-V5275 |
Ear Impression, Each |
$45.00 |
Hearing Aid Repairs (Effective December 2, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5014 |
Processor, Ear Level, Replacement, Each |
$300.02 |
Hearing Aid Batteries (Effective December 2, 2008)
|
Medicaid Benefit Description |
Reimbursment
Fee |
R-V5266 |
Battery For Use In Hearing Device, Each |
$1.30 |
|
