# HCPCS V2501: Contact lens, PMMA, toric or prism ballast, per lens

Medicare HCPCS V2501 pays $180.30 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $151.57 in Washington to $435.59 in Puerto Rico, a 187% spread.

Web page: https://www.med-reveal.com/rates/V2501-hcpcs-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $180.30 |
| National facility | $180.30 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $435.59 | $435.59 |
| Hawaii | $210.65 | $210.65 |
| Connecticut | $202.09 | $202.09 |
| Iowa | $202.09 | $202.09 |
| Kansas | $202.09 | $202.09 |
| Maine | $202.09 | $202.09 |
| Massachusetts | $202.09 | $202.09 |
| Missouri | $202.09 | $202.09 |
| Nebraska | $202.09 | $202.09 |
| New Hampshire | $202.09 | $202.09 |
| New Jersey | $202.09 | $202.09 |
| New York | $202.09 | $202.09 |
| Rhode Island | $202.09 | $202.09 |
| Vermont | $202.09 | $202.09 |
| Virgin Islands | $202.09 | $202.09 |
| Alaska | $196.99 | $196.99 |
| Colorado | $185.22 | $185.22 |
| Montana | $185.22 | $185.22 |
| North Dakota | $185.22 | $185.22 |
| South Dakota | $185.22 | $185.22 |
| Utah | $185.22 | $185.22 |
| Wyoming | $185.22 | $185.22 |
| Delaware | $180.36 | $180.36 |
| District of Columbia | $180.36 | $180.36 |
| Maryland | $180.36 | $180.36 |
| Pennsylvania | $180.36 | $180.36 |
| Virginia | $180.36 | $180.36 |
| West Virginia | $180.36 | $180.36 |
| Arizona | $169.32 | $169.32 |
| California | $169.32 | $169.32 |
| Nevada | $169.32 | $169.32 |
| Illinois | $159.84 | $159.84 |
| Indiana | $159.84 | $159.84 |
| Michigan | $159.84 | $159.84 |
| Minnesota | $159.84 | $159.84 |
| Ohio | $159.84 | $159.84 |
| Wisconsin | $159.84 | $159.84 |
| Alabama | $151.57 | $151.57 |
| Arkansas | $151.57 | $151.57 |
| Florida | $151.57 | $151.57 |
| Georgia | $151.57 | $151.57 |
| Idaho | $151.57 | $151.57 |
| Kentucky | $151.57 | $151.57 |
| Louisiana | $151.57 | $151.57 |
| Mississippi | $151.57 | $151.57 |
| New Mexico | $151.57 | $151.57 |
| North Carolina | $151.57 | $151.57 |
| Oklahoma | $151.57 | $151.57 |
| Oregon | $151.57 | $151.57 |
| South Carolina | $151.57 | $151.57 |
| Tennessee | $151.57 | $151.57 |
| Texas | $151.57 | $151.57 |
| Washington | $151.57 | $151.57 |

## Related codes

- 92310: Fitting of contact lens, corneal, bifocal, both eyes — https://www.med-reveal.com/rates/92310-cpt-fee-schedule
- 92311: Fitting of contact lens, corneal, aphakic patient, one eye — https://www.med-reveal.com/rates/92311-cpt-fee-schedule
- 92314: Prescription of optical/physical characteristics of contact lens, both eyes — https://www.med-reveal.com/rates/92314-cpt-fee-schedule
- V2500: Contact lens, PMMA, spherical, per lens — https://www.med-reveal.com/rates/V2500-hcpcs-fee-schedule
- V2502: Contact lens, PMMA, bifocal, per lens — https://www.med-reveal.com/rates/V2502-hcpcs-fee-schedule
- V2503: Contact lens, PMMA, color vision deficiency, per lens — https://www.med-reveal.com/rates/V2503-hcpcs-fee-schedule
- V2510: Contact lens, gas permeable, spherical, per lens — https://www.med-reveal.com/rates/V2510-hcpcs-fee-schedule
- V2511: Contact lens, gas permeable, toric prism ballast, per lens — https://www.med-reveal.com/rates/V2511-hcpcs-fee-schedule

Commercial negotiated rates for V2501 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