# CPT 92313: Rx&fitg Contact Lens Corneoscleral Lens

Medicare CPT 92313 pays $95.53 in a non-facility setting and $35.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $86.18 in Arkansas to $114.64 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/92313-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $95.53 |
| National facility | $35.74 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $114.64 | $50.97 |
| District of Columbia | $108.78 | $38.35 |
| California | $108.39 | $37.64 |
| Washington | $105.52 | $37.36 |
| New Jersey | $105.31 | $37.99 |
| New York | $104.60 | $37.90 |
| Massachusetts | $104.38 | $37.21 |
| Hawaii | $104.31 | $36.33 |
| Connecticut | $101.21 | $36.82 |
| Colorado | $99.98 | $36.37 |
| Oregon | $99.16 | $36.17 |
| Maryland | $98.71 | $36.39 |
| Rhode Island | $98.21 | $36.45 |
| New Hampshire | $98.16 | $35.92 |
| Minnesota | $97.18 | $35.66 |
| Puerto Rico | $96.24 | $35.79 |
| Virgin Islands | $96.24 | $35.79 |
| Florida | $96.06 | $36.07 |
| Nevada | $95.54 | $35.69 |
| Montana | $95.53 | $35.74 |
| Wyoming | $95.44 | $35.65 |
| North Dakota | $95.33 | $35.54 |
| South Dakota | $95.30 | $35.52 |
| Delaware | $94.86 | $35.79 |
| Vermont | $94.71 | $35.52 |
| Texas | $94.66 | $35.80 |
| Pennsylvania | $94.49 | $35.92 |
| Virginia | $94.32 | $35.55 |
| Illinois | $93.74 | $35.97 |
| Arizona | $93.46 | $35.53 |
| Georgia | $92.65 | $35.60 |
| Wisconsin | $92.56 | $35.28 |
| Maine | $92.51 | $35.38 |
| Michigan | $91.69 | $35.55 |
| Utah | $91.58 | $35.38 |
| North Carolina | $91.04 | $35.26 |
| Indiana | $90.60 | $35.18 |
| South Carolina | $90.53 | $35.28 |
| Nebraska | $90.30 | $35.12 |
| New Mexico | $90.19 | $35.36 |
| Missouri | $90.16 | $35.29 |
| Idaho | $90.14 | $35.14 |
| Louisiana | $89.88 | $35.29 |
| Ohio | $89.86 | $35.28 |
| Iowa | $89.79 | $35.08 |
| Tennessee | $89.44 | $35.10 |
| Kansas | $89.11 | $35.06 |
| Oklahoma | $88.48 | $35.09 |
| Kentucky | $88.27 | $35.12 |
| Alabama | $87.24 | $34.93 |
| West Virginia | $87.14 | $35.18 |
| Mississippi | $86.39 | $34.91 |
| Arkansas | $86.18 | $34.82 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92313 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules