🔧 TEST VERSION • This is a preview of upcoming features
V2512 Prosthetics & Orthotics 53 States

Contact lens, gas permeable, bifocal, per lens

Short Desc Cntct lens gas permbl bifocl
Coverage determined by local carrier discretion.
Added Date
1985-01-01
Effective From
2003-10-01
National Floor
$230.62
National Ceiling
$307.49

Fee Schedule Rates

Effective Jan 2026

Official Medicare DMEPOS pricing for 2026.

State Modifier Non-Rural Rural
AK
Base Rate
$289.90
Same
AL
Base Rate
$230.62
Same
AR
Base Rate
$307.49
Same
AZ
Base Rate
$271.53
Same
CA
Base Rate
$271.53
Same
CO
Base Rate
$230.62
Same
CT
Base Rate
$272.68
Same
DC
Base Rate
$286.17
Same
DE
Base Rate
$286.17
Same
FL
Base Rate
$230.62
Same
GA
Base Rate
$230.62
Same
HI
Base Rate
$309.92
Same
IA
Base Rate
$282.10
Same
ID
Base Rate
$230.62
Same
IL
Base Rate
$256.25
Same
IN
Base Rate
$256.25
Same
KS
Base Rate
$282.10
Same
KY
Base Rate
$230.62
Same
LA
Base Rate
$307.49
Same
MA
Base Rate
$272.68
Same
MD
Base Rate
$286.17
Same
ME
Base Rate
$272.68
Same
MI
Base Rate
$256.25
Same
MN
Base Rate
$256.25
Same
MO
Base Rate
$282.10
Same
MS
Base Rate
$230.62
Same
MT
Base Rate
$230.62
Same
NC
Base Rate
$230.62
Same
ND
Base Rate
$230.62
Same
NE
Base Rate
$282.10
Same
NH
Base Rate
$272.68
Same
NJ
Base Rate
$307.49
Same
NM
Base Rate
$307.49
Same
NV
Base Rate
$271.53
Same
NY
Base Rate
$307.49
Same
OH
Base Rate
$256.25
Same
OK
Base Rate
$307.49
Same
OR
Base Rate
$230.62
Same
PA
Base Rate
$286.17
Same
PR
Base Rate
$434.08
Same
RI
Base Rate
$272.68
Same
SC
Base Rate
$230.62
Same
SD
Base Rate
$230.62
Same
TN
Base Rate
$230.62
Same
TX
Base Rate
$307.49
Same
UT
Base Rate
$230.62
Same
VA
Base Rate
$286.17
Same
VI
Base Rate
$307.49
Same
VT
Base Rate
$272.68
Same
WA
Base Rate
$230.62
Same
WI
Base Rate
$256.25
Same
WV
Base Rate
$286.17
Same
WY
Base Rate
$230.62
Same