# HCPCS V2511: Contact lens, gas permeable, toric prism ballast, per lens

Medicare HCPCS V2511 pays $229.26 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $195.17 in Wyoming to $434.08 in Puerto Rico, a 122% spread.

Web page: https://www.med-reveal.com/rates/V2511-hcpcs-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $229.26 |
| National facility | $229.26 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $434.08 | $434.08 |
| Connecticut | $260.23 | $260.23 |
| Maine | $260.23 | $260.23 |
| Massachusetts | $260.23 | $260.23 |
| New Hampshire | $260.23 | $260.23 |
| New Jersey | $260.23 | $260.23 |
| New York | $260.23 | $260.23 |
| Rhode Island | $260.23 | $260.23 |
| Vermont | $260.23 | $260.23 |
| Virgin Islands | $260.23 | $260.23 |
| Hawaii | $258.78 | $258.78 |
| Alaska | $242.06 | $242.06 |
| Iowa | $239.56 | $239.56 |
| Kansas | $239.56 | $239.56 |
| Missouri | $239.56 | $239.56 |
| Nebraska | $239.56 | $239.56 |
| Arizona | $233.89 | $233.89 |
| California | $233.89 | $233.89 |
| Nevada | $233.89 | $233.89 |
| Arkansas | $232.93 | $232.93 |
| Louisiana | $232.93 | $232.93 |
| New Mexico | $232.93 | $232.93 |
| Oklahoma | $232.93 | $232.93 |
| Texas | $232.93 | $232.93 |
| Delaware | $232.57 | $232.57 |
| District of Columbia | $232.57 | $232.57 |
| Maryland | $232.57 | $232.57 |
| Pennsylvania | $232.57 | $232.57 |
| Virginia | $232.57 | $232.57 |
| West Virginia | $232.57 | $232.57 |
| Illinois | $222.63 | $222.63 |
| Indiana | $222.63 | $222.63 |
| Michigan | $222.63 | $222.63 |
| Minnesota | $222.63 | $222.63 |
| Ohio | $222.63 | $222.63 |
| Wisconsin | $222.63 | $222.63 |
| Alabama | $195.17 | $195.17 |
| Colorado | $195.17 | $195.17 |
| Florida | $195.17 | $195.17 |
| Georgia | $195.17 | $195.17 |
| Idaho | $195.17 | $195.17 |
| Kentucky | $195.17 | $195.17 |
| Mississippi | $195.17 | $195.17 |
| Montana | $195.17 | $195.17 |
| North Carolina | $195.17 | $195.17 |
| North Dakota | $195.17 | $195.17 |
| Oregon | $195.17 | $195.17 |
| South Carolina | $195.17 | $195.17 |
| South Dakota | $195.17 | $195.17 |
| Tennessee | $195.17 | $195.17 |
| Utah | $195.17 | $195.17 |
| Washington | $195.17 | $195.17 |
| Wyoming | $195.17 | $195.17 |

## 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
- V2501: Contact lens, PMMA, toric or prism ballast, per lens — https://www.med-reveal.com/rates/V2501-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

Commercial negotiated rates for V2511 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