V2530
Prosthetics & Orthotics
53 States
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)
Short Desc
Contact lens gas impermeable
Coverage determined by local carrier discretion.
Added Date
1985-01-01
Effective From
2003-10-01
National Floor
$273.05
National Ceiling
$364.07
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$149.75
|
Same |
|
AL
|
Base Rate |
$273.05
|
Same |
|
AR
|
Base Rate |
$348.04
|
Same |
|
AZ
|
Base Rate |
$273.05
|
Same |
|
CA
|
Base Rate |
$273.05
|
Same |
|
CO
|
Base Rate |
$297.16
|
Same |
|
CT
|
Base Rate |
$364.07
|
Same |
|
DC
|
Base Rate |
$312.38
|
Same |
|
DE
|
Base Rate |
$312.38
|
Same |
|
FL
|
Base Rate |
$273.05
|
Same |
|
GA
|
Base Rate |
$273.05
|
Same |
|
HI
|
Base Rate |
$160.11
|
Same |
|
IA
|
Base Rate |
$273.05
|
Same |
|
ID
|
Base Rate |
$273.05
|
Same |
|
IL
|
Base Rate |
$364.07
|
Same |
|
IN
|
Base Rate |
$364.07
|
Same |
|
KS
|
Base Rate |
$273.05
|
Same |
|
KY
|
Base Rate |
$273.05
|
Same |
|
LA
|
Base Rate |
$348.04
|
Same |
|
MA
|
Base Rate |
$364.07
|
Same |
|
MD
|
Base Rate |
$312.38
|
Same |
|
ME
|
Base Rate |
$364.07
|
Same |
|
MI
|
Base Rate |
$364.07
|
Same |
|
MN
|
Base Rate |
$364.07
|
Same |
|
MO
|
Base Rate |
$273.05
|
Same |
|
MS
|
Base Rate |
$273.05
|
Same |
|
MT
|
Base Rate |
$297.16
|
Same |
|
NC
|
Base Rate |
$273.05
|
Same |
|
ND
|
Base Rate |
$297.16
|
Same |
|
NE
|
Base Rate |
$273.05
|
Same |
|
NH
|
Base Rate |
$364.07
|
Same |
|
NJ
|
Base Rate |
$273.05
|
Same |
|
NM
|
Base Rate |
$348.04
|
Same |
|
NV
|
Base Rate |
$273.05
|
Same |
|
NY
|
Base Rate |
$273.05
|
Same |
|
OH
|
Base Rate |
$364.07
|
Same |
|
OK
|
Base Rate |
$348.04
|
Same |
|
OR
|
Base Rate |
$273.05
|
Same |
|
PA
|
Base Rate |
$312.38
|
Same |
|
PR
|
Base Rate |
$245.95
|
Same |
|
RI
|
Base Rate |
$364.07
|
Same |
|
SC
|
Base Rate |
$273.05
|
Same |
|
SD
|
Base Rate |
$297.16
|
Same |
|
TN
|
Base Rate |
$273.05
|
Same |
|
TX
|
Base Rate |
$348.04
|
Same |
|
UT
|
Base Rate |
$297.16
|
Same |
|
VA
|
Base Rate |
$312.38
|
Same |
|
VI
|
Base Rate |
$273.05
|
Same |
|
VT
|
Base Rate |
$364.07
|
Same |
|
WA
|
Base Rate |
$273.05
|
Same |
|
WI
|
Base Rate |
$364.07
|
Same |
|
WV
|
Base Rate |
$312.38
|
Same |
|
WY
|
Base Rate |
$297.16
|
Same |