# HCPCS V2203: Lens sphcyl bifocal 4.00d/.1

Medicare HCPCS V2203 pays $71.29 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $63.32 in Tennessee to $85.46 in Hawaii, a 35% spread.

Web page: https://www.med-reveal.com/rates/V2203-hcpcs-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $71.29 |
| National facility | $71.29 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $85.46 | $85.46 |
| New Jersey | $84.43 | $84.43 |
| New York | $84.43 | $84.43 |
| Virgin Islands | $84.43 | $84.43 |
| Delaware | $83.72 | $83.72 |
| District of Columbia | $83.72 | $83.72 |
| Maryland | $83.72 | $83.72 |
| Pennsylvania | $83.72 | $83.72 |
| Virginia | $83.72 | $83.72 |
| West Virginia | $83.72 | $83.72 |
| Alaska | $79.91 | $79.91 |
| Arizona | $77.97 | $77.97 |
| California | $77.97 | $77.97 |
| Nevada | $77.97 | $77.97 |
| Idaho | $76.56 | $76.56 |
| Oregon | $76.56 | $76.56 |
| Washington | $76.56 | $76.56 |
| Puerto Rico | $72.09 | $72.09 |
| Arkansas | $71.22 | $71.22 |
| Louisiana | $71.22 | $71.22 |
| New Mexico | $71.22 | $71.22 |
| Oklahoma | $71.22 | $71.22 |
| Texas | $71.22 | $71.22 |
| Connecticut | $67.23 | $67.23 |
| Maine | $67.23 | $67.23 |
| Massachusetts | $67.23 | $67.23 |
| New Hampshire | $67.23 | $67.23 |
| Rhode Island | $67.23 | $67.23 |
| Vermont | $67.23 | $67.23 |
| Colorado | $67.14 | $67.14 |
| Montana | $67.14 | $67.14 |
| North Dakota | $67.14 | $67.14 |
| South Dakota | $67.14 | $67.14 |
| Utah | $67.14 | $67.14 |
| Wyoming | $67.14 | $67.14 |
| Illinois | $66.01 | $66.01 |
| Indiana | $66.01 | $66.01 |
| Michigan | $66.01 | $66.01 |
| Minnesota | $66.01 | $66.01 |
| Ohio | $66.01 | $66.01 |
| Wisconsin | $66.01 | $66.01 |
| Iowa | $64.18 | $64.18 |
| Kansas | $64.18 | $64.18 |
| Missouri | $64.18 | $64.18 |
| Nebraska | $64.18 | $64.18 |
| Alabama | $63.32 | $63.32 |
| Florida | $63.32 | $63.32 |
| Georgia | $63.32 | $63.32 |
| Kentucky | $63.32 | $63.32 |
| Mississippi | $63.32 | $63.32 |
| North Carolina | $63.32 | $63.32 |
| South Carolina | $63.32 | $63.32 |
| Tennessee | $63.32 | $63.32 |

## Related codes

- V2025: Eyeglasses delux frames — https://www.med-reveal.com/rates/V2025-hcpcs-fee-schedule
- V2104: Spherocylindr 4.00d/2.12-4d — https://www.med-reveal.com/rates/V2104-hcpcs-fee-schedule
- V2105: Spherocylinder 4.00d/4.25-6d — https://www.med-reveal.com/rates/V2105-hcpcs-fee-schedule
- V2106: Spherocylinder 4.00d/>6.00d — https://www.med-reveal.com/rates/V2106-hcpcs-fee-schedule
- V2107: Spherocylinder 4.25d/12-2d — https://www.med-reveal.com/rates/V2107-hcpcs-fee-schedule
- V2108: Spherocylinder 4.25d/2.12-4d — https://www.med-reveal.com/rates/V2108-hcpcs-fee-schedule
- V2109: Spherocylinder 4.25d/4.25-6d — https://www.med-reveal.com/rates/V2109-hcpcs-fee-schedule
- V2110: Spherocylinder 4.25d/over 6d — https://www.med-reveal.com/rates/V2110-hcpcs-fee-schedule

Commercial negotiated rates for V2203 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