# HCPCS V2715: Prism, per lens

Medicare HCPCS V2715 pays $17.93 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $14.23 in Wyoming to $97.78 in Puerto Rico, a 587% spread.

Web page: https://www.med-reveal.com/rates/V2715-hcpcs-fee-schedule
Section: Vision and Hearing Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.93 |
| National facility | $17.93 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $97.78 | $97.78 |
| Hawaii | $30.88 | $30.88 |
| Alaska | $28.82 | $28.82 |
| Arizona | $18.98 | $18.98 |
| California | $18.98 | $18.98 |
| Nevada | $18.98 | $18.98 |
| New Jersey | $18.98 | $18.98 |
| New York | $18.98 | $18.98 |
| Virgin Islands | $18.98 | $18.98 |
| Illinois | $17.65 | $17.65 |
| Indiana | $17.65 | $17.65 |
| Michigan | $17.65 | $17.65 |
| Minnesota | $17.65 | $17.65 |
| Ohio | $17.65 | $17.65 |
| Wisconsin | $17.65 | $17.65 |
| Idaho | $17.49 | $17.49 |
| Oregon | $17.49 | $17.49 |
| Washington | $17.49 | $17.49 |
| Iowa | $16.31 | $16.31 |
| Kansas | $16.31 | $16.31 |
| Missouri | $16.31 | $16.31 |
| Nebraska | $16.31 | $16.31 |
| Arkansas | $16.08 | $16.08 |
| Louisiana | $16.08 | $16.08 |
| New Mexico | $16.08 | $16.08 |
| Oklahoma | $16.08 | $16.08 |
| Texas | $16.08 | $16.08 |
| Delaware | $15.06 | $15.06 |
| District of Columbia | $15.06 | $15.06 |
| Maryland | $15.06 | $15.06 |
| Pennsylvania | $15.06 | $15.06 |
| Virginia | $15.06 | $15.06 |
| West Virginia | $15.06 | $15.06 |
| Alabama | $14.23 | $14.23 |
| Colorado | $14.23 | $14.23 |
| Connecticut | $14.23 | $14.23 |
| Florida | $14.23 | $14.23 |
| Georgia | $14.23 | $14.23 |
| Kentucky | $14.23 | $14.23 |
| Maine | $14.23 | $14.23 |
| Massachusetts | $14.23 | $14.23 |
| Mississippi | $14.23 | $14.23 |
| Montana | $14.23 | $14.23 |
| New Hampshire | $14.23 | $14.23 |
| North Carolina | $14.23 | $14.23 |
| North Dakota | $14.23 | $14.23 |
| Rhode Island | $14.23 | $14.23 |
| South Carolina | $14.23 | $14.23 |
| South Dakota | $14.23 | $14.23 |
| Tennessee | $14.23 | $14.23 |
| Utah | $14.23 | $14.23 |
| Vermont | $14.23 | $14.23 |
| Wyoming | $14.23 | $14.23 |

## 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
- V2201: Sphere, bifocal, plus or minus 4.25 to 7.00, per lens — https://www.med-reveal.com/rates/V2201-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

Commercial negotiated rates for V2715 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