# HCPCS V2784: Lens polycarb or equal

Medicare HCPCS V2784 pays $57.83 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $56.72 in West Virginia to $62.37 in Puerto Rico, a 10% spread.

Web page: https://www.med-reveal.com/rates/V2784-hcpcs-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $57.83 |
| National facility | $57.83 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $62.37 | $62.37 |
| Virgin Islands | $62.37 | $62.37 |
| Colorado | $58.79 | $58.79 |
| Montana | $58.79 | $58.79 |
| North Dakota | $58.79 | $58.79 |
| South Dakota | $58.79 | $58.79 |
| Utah | $58.79 | $58.79 |
| Wyoming | $58.79 | $58.79 |
| Alabama | $58.43 | $58.43 |
| Arkansas | $58.43 | $58.43 |
| Florida | $58.43 | $58.43 |
| Georgia | $58.43 | $58.43 |
| Kentucky | $58.43 | $58.43 |
| Louisiana | $58.43 | $58.43 |
| Mississippi | $58.43 | $58.43 |
| New Mexico | $58.43 | $58.43 |
| North Carolina | $58.43 | $58.43 |
| Oklahoma | $58.43 | $58.43 |
| South Carolina | $58.43 | $58.43 |
| Tennessee | $58.43 | $58.43 |
| Texas | $58.43 | $58.43 |
| Illinois | $58.13 | $58.13 |
| Indiana | $58.13 | $58.13 |
| Michigan | $58.13 | $58.13 |
| Minnesota | $58.13 | $58.13 |
| Ohio | $58.13 | $58.13 |
| Wisconsin | $58.13 | $58.13 |
| Iowa | $57.83 | $57.83 |
| Kansas | $57.83 | $57.83 |
| Missouri | $57.83 | $57.83 |
| Nebraska | $57.83 | $57.83 |
| Alaska | $56.72 | $56.72 |
| Arizona | $56.72 | $56.72 |
| California | $56.72 | $56.72 |
| Connecticut | $56.72 | $56.72 |
| Delaware | $56.72 | $56.72 |
| District of Columbia | $56.72 | $56.72 |
| Hawaii | $56.72 | $56.72 |
| Idaho | $56.72 | $56.72 |
| Maine | $56.72 | $56.72 |
| Maryland | $56.72 | $56.72 |
| Massachusetts | $56.72 | $56.72 |
| Nevada | $56.72 | $56.72 |
| New Hampshire | $56.72 | $56.72 |
| New Jersey | $56.72 | $56.72 |
| New York | $56.72 | $56.72 |
| Oregon | $56.72 | $56.72 |
| Pennsylvania | $56.72 | $56.72 |
| Rhode Island | $56.72 | $56.72 |
| Vermont | $56.72 | $56.72 |
| Virginia | $56.72 | $56.72 |
| Washington | $56.72 | $56.72 |
| West Virginia | $56.72 | $56.72 |

## 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 V2784 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