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V2718 Prosthetics & Orthotics 53 States

Press-on lens, fresnell prism, per lens

Short Desc Fresnell prism press-on lens
Coverage determined by local carrier discretion.
Added Date
1985-01-01
Effective From
2003-10-01
National Floor
$34.95
National Ceiling
$46.61

Fee Schedule Rates

Effective Jan 2026

Official Medicare DMEPOS pricing for 2026.

State Modifier Non-Rural Rural
AK
Base Rate
$90.46
Same
AL
Base Rate
$34.95
Same
AR
Base Rate
$39.93
Same
AZ
Base Rate
$46.61
Same
CA
Base Rate
$46.61
Same
CO
Base Rate
$34.95
Same
CT
Base Rate
$45.19
Same
DC
Base Rate
$36.25
Same
DE
Base Rate
$36.25
Same
FL
Base Rate
$34.95
Same
GA
Base Rate
$34.95
Same
HI
Base Rate
$96.72
Same
IA
Base Rate
$34.95
Same
ID
Base Rate
$34.95
Same
IL
Base Rate
$38.11
Same
IN
Base Rate
$38.11
Same
KS
Base Rate
$34.95
Same
KY
Base Rate
$34.95
Same
LA
Base Rate
$39.93
Same
MA
Base Rate
$45.19
Same
MD
Base Rate
$36.25
Same
ME
Base Rate
$45.19
Same
MI
Base Rate
$38.11
Same
MN
Base Rate
$38.11
Same
MO
Base Rate
$34.95
Same
MS
Base Rate
$34.95
Same
MT
Base Rate
$34.95
Same
NC
Base Rate
$34.95
Same
ND
Base Rate
$34.95
Same
NE
Base Rate
$34.95
Same
NH
Base Rate
$45.19
Same
NJ
Base Rate
$43.28
Same
NM
Base Rate
$39.93
Same
NV
Base Rate
$46.61
Same
NY
Base Rate
$43.28
Same
OH
Base Rate
$38.11
Same
OK
Base Rate
$39.93
Same
OR
Base Rate
$34.95
Same
PA
Base Rate
$36.25
Same
PR
Base Rate
$50.33
Same
RI
Base Rate
$45.19
Same
SC
Base Rate
$34.95
Same
SD
Base Rate
$34.95
Same
TN
Base Rate
$34.95
Same
TX
Base Rate
$39.93
Same
UT
Base Rate
$34.95
Same
VA
Base Rate
$36.25
Same
VI
Base Rate
$43.29
Same
VT
Base Rate
$45.19
Same
WA
Base Rate
$34.95
Same
WI
Base Rate
$38.11
Same
WV
Base Rate
$36.25
Same
WY
Base Rate
$34.95
Same