# HCPCS V2103: Spherocylinder, single vision, plano to plus or minus 4.00 sphere, per lens

Medicare HCPCS V2103 pays $47.48 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $41.63 in Vermont to $58.09 in Puerto Rico, a 40% spread.

Web page: https://www.med-reveal.com/rates/V2103-hcpcs-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $47.48 |
| National facility | $47.48 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $58.09 | $58.09 |
| Delaware | $55.51 | $55.51 |
| District of Columbia | $55.51 | $55.51 |
| Maryland | $55.51 | $55.51 |
| New Jersey | $55.51 | $55.51 |
| New York | $55.51 | $55.51 |
| Pennsylvania | $55.51 | $55.51 |
| Virgin Islands | $55.51 | $55.51 |
| Virginia | $55.51 | $55.51 |
| West Virginia | $55.51 | $55.51 |
| Idaho | $52.08 | $52.08 |
| Oregon | $52.08 | $52.08 |
| Washington | $52.08 | $52.08 |
| Colorado | $51.53 | $51.53 |
| Montana | $51.53 | $51.53 |
| North Dakota | $51.53 | $51.53 |
| South Dakota | $51.53 | $51.53 |
| Utah | $51.53 | $51.53 |
| Wyoming | $51.53 | $51.53 |
| Hawaii | $49.91 | $49.91 |
| Illinois | $47.91 | $47.91 |
| Indiana | $47.91 | $47.91 |
| Michigan | $47.91 | $47.91 |
| Minnesota | $47.91 | $47.91 |
| Ohio | $47.91 | $47.91 |
| Wisconsin | $47.91 | $47.91 |
| Alaska | $46.64 | $46.64 |
| Arizona | $45.79 | $45.79 |
| California | $45.79 | $45.79 |
| Nevada | $45.79 | $45.79 |
| Arkansas | $44.55 | $44.55 |
| Louisiana | $44.55 | $44.55 |
| New Mexico | $44.55 | $44.55 |
| Oklahoma | $44.55 | $44.55 |
| Texas | $44.55 | $44.55 |
| Alabama | $41.63 | $41.63 |
| Connecticut | $41.63 | $41.63 |
| Florida | $41.63 | $41.63 |
| Georgia | $41.63 | $41.63 |
| Iowa | $41.63 | $41.63 |
| Kansas | $41.63 | $41.63 |
| Kentucky | $41.63 | $41.63 |
| Maine | $41.63 | $41.63 |
| Massachusetts | $41.63 | $41.63 |
| Mississippi | $41.63 | $41.63 |
| Missouri | $41.63 | $41.63 |
| Nebraska | $41.63 | $41.63 |
| New Hampshire | $41.63 | $41.63 |
| North Carolina | $41.63 | $41.63 |
| Rhode Island | $41.63 | $41.63 |
| South Carolina | $41.63 | $41.63 |
| Tennessee | $41.63 | $41.63 |
| Vermont | $41.63 | $41.63 |

## Related codes

- V2020: Frames, purchases — https://www.med-reveal.com/rates/V2020-hcpcs-fee-schedule
- V2100: Sphere, single vision, plano to plus or minus 4.00, per lens — https://www.med-reveal.com/rates/V2100-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
- 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 V2103 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