# HCPCS V2201: Sphere, bifocal, plus or minus 4.25 to 7.00, per lens

Medicare HCPCS V2201 pays $77.29 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $68.41 in Tennessee to $97.51 in Hawaii, a 43% spread.

Web page: https://www.med-reveal.com/rates/V2201-hcpcs-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $77.29 |
| National facility | $77.29 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $97.51 | $97.51 |
| Alaska | $91.17 | $91.17 |
| New Jersey | $90.63 | $90.63 |
| New York | $90.63 | $90.63 |
| Virgin Islands | $90.63 | $90.63 |
| Delaware | $88.83 | $88.83 |
| District of Columbia | $88.83 | $88.83 |
| Maryland | $88.83 | $88.83 |
| Pennsylvania | $88.83 | $88.83 |
| Virginia | $88.83 | $88.83 |
| West Virginia | $88.83 | $88.83 |
| Arizona | $87.21 | $87.21 |
| California | $87.21 | $87.21 |
| Nevada | $87.21 | $87.21 |
| Colorado | $78.89 | $78.89 |
| Montana | $78.89 | $78.89 |
| North Dakota | $78.89 | $78.89 |
| South Dakota | $78.89 | $78.89 |
| Utah | $78.89 | $78.89 |
| Wyoming | $78.89 | $78.89 |
| Idaho | $78.34 | $78.34 |
| Oregon | $78.34 | $78.34 |
| Washington | $78.34 | $78.34 |
| Arkansas | $76.34 | $76.34 |
| Louisiana | $76.34 | $76.34 |
| New Mexico | $76.34 | $76.34 |
| Oklahoma | $76.34 | $76.34 |
| Texas | $76.34 | $76.34 |
| Connecticut | $72.39 | $72.39 |
| Maine | $72.39 | $72.39 |
| Massachusetts | $72.39 | $72.39 |
| New Hampshire | $72.39 | $72.39 |
| Rhode Island | $72.39 | $72.39 |
| Vermont | $72.39 | $72.39 |
| Puerto Rico | $72.09 | $72.09 |
| Iowa | $71.35 | $71.35 |
| Kansas | $71.35 | $71.35 |
| Missouri | $71.35 | $71.35 |
| Nebraska | $71.35 | $71.35 |
| Illinois | $68.68 | $68.68 |
| Indiana | $68.68 | $68.68 |
| Michigan | $68.68 | $68.68 |
| Minnesota | $68.68 | $68.68 |
| Ohio | $68.68 | $68.68 |
| Wisconsin | $68.68 | $68.68 |
| Alabama | $68.41 | $68.41 |
| Florida | $68.41 | $68.41 |
| Georgia | $68.41 | $68.41 |
| Kentucky | $68.41 | $68.41 |
| Mississippi | $68.41 | $68.41 |
| North Carolina | $68.41 | $68.41 |
| South Carolina | $68.41 | $68.41 |
| Tennessee | $68.41 | $68.41 |

## 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
- 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
- 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 V2201 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