🔧 TEST VERSION • This is a preview of upcoming features
V2106 Prosthetics & Orthotics 53 States

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Short Desc Spherocylinder 4.00d/>6.00d
Coverage determined by local carrier discretion.
Added Date
1985-01-01
Effective From
2003-10-01
National Floor
$55.71
National Ceiling
$74.29

Fee Schedule Rates

Effective Jan 2026

Official Medicare DMEPOS pricing for 2026.

State Modifier Non-Rural Rural
AK
Base Rate
$67.36
Same
AL
Base Rate
$57.30
Same
AR
Base Rate
$61.64
Same
AZ
Base Rate
$63.56
Same
CA
Base Rate
$63.56
Same
CO
Base Rate
$55.71
Same
CT
Base Rate
$59.86
Same
DC
Base Rate
$74.29
Same
DE
Base Rate
$74.29
Same
FL
Base Rate
$57.30
Same
GA
Base Rate
$57.30
Same
HI
Base Rate
$72.05
Same
IA
Base Rate
$55.71
Same
ID
Base Rate
$64.87
Same
IL
Base Rate
$65.08
Same
IN
Base Rate
$65.08
Same
KS
Base Rate
$55.71
Same
KY
Base Rate
$57.30
Same
LA
Base Rate
$61.64
Same
MA
Base Rate
$59.86
Same
MD
Base Rate
$74.29
Same
ME
Base Rate
$59.86
Same
MI
Base Rate
$65.08
Same
MN
Base Rate
$65.08
Same
MO
Base Rate
$55.71
Same
MS
Base Rate
$57.30
Same
MT
Base Rate
$55.71
Same
NC
Base Rate
$57.30
Same
ND
Base Rate
$55.71
Same
NE
Base Rate
$55.71
Same
NH
Base Rate
$59.86
Same
NJ
Base Rate
$73.93
Same
NM
Base Rate
$61.64
Same
NV
Base Rate
$63.56
Same
NY
Base Rate
$73.93
Same
OH
Base Rate
$65.08
Same
OK
Base Rate
$61.64
Same
OR
Base Rate
$64.87
Same
PA
Base Rate
$74.29
Same
PR
Base Rate
$58.09
Same
RI
Base Rate
$59.86
Same
SC
Base Rate
$57.30
Same
SD
Base Rate
$55.71
Same
TN
Base Rate
$57.30
Same
TX
Base Rate
$61.64
Same
UT
Base Rate
$55.71
Same
VA
Base Rate
$74.29
Same
VI
Base Rate
$73.93
Same
VT
Base Rate
$59.86
Same
WA
Base Rate
$64.87
Same
WI
Base Rate
$65.08
Same
WV
Base Rate
$74.29
Same
WY
Base Rate
$55.71
Same