# HCPCS V2626: Reduction of ocular prosthesis

Medicare HCPCS V2626 pays $280.08 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $222.15 in Puerto Rico to $357.61 in Hawaii, a 61% spread.

Web page: https://www.med-reveal.com/rates/V2626-hcpcs-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $280.08 |
| National facility | $280.08 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $357.61 | $357.61 |
| Alaska | $334.41 | $334.41 |
| Arizona | $325.67 | $325.67 |
| Arkansas | $325.67 | $325.67 |
| California | $325.67 | $325.67 |
| Idaho | $325.67 | $325.67 |
| Iowa | $325.67 | $325.67 |
| Kansas | $325.67 | $325.67 |
| Louisiana | $325.67 | $325.67 |
| Missouri | $325.67 | $325.67 |
| Nebraska | $325.67 | $325.67 |
| Nevada | $325.67 | $325.67 |
| New Mexico | $325.67 | $325.67 |
| Oklahoma | $325.67 | $325.67 |
| Oregon | $325.67 | $325.67 |
| Texas | $325.67 | $325.67 |
| Washington | $325.67 | $325.67 |
| Alabama | $306.28 | $306.28 |
| Florida | $306.28 | $306.28 |
| Georgia | $306.28 | $306.28 |
| Kentucky | $306.28 | $306.28 |
| Mississippi | $306.28 | $306.28 |
| North Carolina | $306.28 | $306.28 |
| South Carolina | $306.28 | $306.28 |
| Tennessee | $306.28 | $306.28 |
| Colorado | $244.25 | $244.25 |
| Connecticut | $244.25 | $244.25 |
| Delaware | $244.25 | $244.25 |
| District of Columbia | $244.25 | $244.25 |
| Illinois | $244.25 | $244.25 |
| Indiana | $244.25 | $244.25 |
| Maine | $244.25 | $244.25 |
| Maryland | $244.25 | $244.25 |
| Massachusetts | $244.25 | $244.25 |
| Michigan | $244.25 | $244.25 |
| Minnesota | $244.25 | $244.25 |
| Montana | $244.25 | $244.25 |
| New Hampshire | $244.25 | $244.25 |
| New Jersey | $244.25 | $244.25 |
| New York | $244.25 | $244.25 |
| North Dakota | $244.25 | $244.25 |
| Ohio | $244.25 | $244.25 |
| Pennsylvania | $244.25 | $244.25 |
| Rhode Island | $244.25 | $244.25 |
| South Dakota | $244.25 | $244.25 |
| Utah | $244.25 | $244.25 |
| Vermont | $244.25 | $244.25 |
| Virgin Islands | $244.25 | $244.25 |
| Virginia | $244.25 | $244.25 |
| West Virginia | $244.25 | $244.25 |
| Wisconsin | $244.25 | $244.25 |
| Wyoming | $244.25 | $244.25 |
| Puerto Rico | $222.15 | $222.15 |

## Related codes

- 92340: Fitting of spectacles, except aphakia, monofocal — https://www.med-reveal.com/rates/92340-cpt-fee-schedule
- 92341: Fitting of spectacles, except aphakia, multifocal, other than bifocal — https://www.med-reveal.com/rates/92341-cpt-fee-schedule
- 92352: Fitting of spectacle prosthesis for aphakia, monofocal — https://www.med-reveal.com/rates/92352-cpt-fee-schedule
- V2623: Prosthetic eye, plastic, custom — https://www.med-reveal.com/rates/V2623-hcpcs-fee-schedule
- V2624: Polishing/resurfacing of ocular prosthesis — https://www.med-reveal.com/rates/V2624-hcpcs-fee-schedule
- V2625: Enlargement of ocular prosthesis — https://www.med-reveal.com/rates/V2625-hcpcs-fee-schedule
- V2627: Scleral cover shell — https://www.med-reveal.com/rates/V2627-hcpcs-fee-schedule
- V2629: Prosthetic eye, other type — https://www.med-reveal.com/rates/V2629-hcpcs-fee-schedule

Commercial negotiated rates for V2626 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