# HCPCS V2100: Sphere, single vision, plano to plus or minus 4.00, per lens

Medicare HCPCS V2100 pays $54.49 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $45.07 in Alaska to $63.95 in Colorado, a 42% spread.

Web page: https://www.med-reveal.com/rates/V2100-hcpcs-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $54.49 |
| National facility | $54.49 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Colorado | $63.95 | $63.95 |
| Montana | $63.95 | $63.95 |
| New Jersey | $63.95 | $63.95 |
| New York | $63.95 | $63.95 |
| North Dakota | $63.95 | $63.95 |
| South Dakota | $63.95 | $63.95 |
| Utah | $63.95 | $63.95 |
| Virgin Islands | $63.95 | $63.95 |
| Wyoming | $63.95 | $63.95 |
| Delaware | $58.92 | $58.92 |
| District of Columbia | $58.92 | $58.92 |
| Maryland | $58.92 | $58.92 |
| Pennsylvania | $58.92 | $58.92 |
| Virginia | $58.92 | $58.92 |
| West Virginia | $58.92 | $58.92 |
| Arkansas | $58.85 | $58.85 |
| Louisiana | $58.85 | $58.85 |
| New Mexico | $58.85 | $58.85 |
| Oklahoma | $58.85 | $58.85 |
| Texas | $58.85 | $58.85 |
| Puerto Rico | $58.09 | $58.09 |
| Illinois | $56.92 | $56.92 |
| Indiana | $56.92 | $56.92 |
| Michigan | $56.92 | $56.92 |
| Minnesota | $56.92 | $56.92 |
| Ohio | $56.92 | $56.92 |
| Wisconsin | $56.92 | $56.92 |
| Idaho | $54.84 | $54.84 |
| Oregon | $54.84 | $54.84 |
| Washington | $54.84 | $54.84 |
| Hawaii | $48.20 | $48.20 |
| Alabama | $47.96 | $47.96 |
| Arizona | $47.96 | $47.96 |
| California | $47.96 | $47.96 |
| Connecticut | $47.96 | $47.96 |
| Florida | $47.96 | $47.96 |
| Georgia | $47.96 | $47.96 |
| Iowa | $47.96 | $47.96 |
| Kansas | $47.96 | $47.96 |
| Kentucky | $47.96 | $47.96 |
| Maine | $47.96 | $47.96 |
| Massachusetts | $47.96 | $47.96 |
| Mississippi | $47.96 | $47.96 |
| Missouri | $47.96 | $47.96 |
| Nebraska | $47.96 | $47.96 |
| Nevada | $47.96 | $47.96 |
| New Hampshire | $47.96 | $47.96 |
| North Carolina | $47.96 | $47.96 |
| Rhode Island | $47.96 | $47.96 |
| South Carolina | $47.96 | $47.96 |
| Tennessee | $47.96 | $47.96 |
| Vermont | $47.96 | $47.96 |
| Alaska | $45.07 | $45.07 |

## Related codes

- V2020: Frames, purchases — https://www.med-reveal.com/rates/V2020-hcpcs-fee-schedule
- V2101: Sphere, single vision, plus or minus 4.12 to 7.00, per lens — https://www.med-reveal.com/rates/V2101-hcpcs-fee-schedule
- V2102: Sphere, single vision, plus or minus 7.12 to 20.00, per lens — https://www.med-reveal.com/rates/V2102-hcpcs-fee-schedule
- V2103: Spherocylinder, single vision, plano to plus or minus 4.00 sphere, per lens — https://www.med-reveal.com/rates/V2103-hcpcs-fee-schedule
- V2200: Sphere, bifocal, plano to plus or minus 4.00, per lens — https://www.med-reveal.com/rates/V2200-hcpcs-fee-schedule
- V2201: Sphere, bifocal, plus or minus 4.25 to 7.00, per lens — https://www.med-reveal.com/rates/V2201-hcpcs-fee-schedule
- V2300: Sphere, trifocal, plano to plus or minus 4.00, per lens — https://www.med-reveal.com/rates/V2300-hcpcs-fee-schedule
- V2410: Variable asphericity lens, single vision, full field, per lens — https://www.med-reveal.com/rates/V2410-hcpcs-fee-schedule

Commercial negotiated rates for V2100 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