V2106 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Spherocylinder, single vision, plano to plus or minus 4.00d ....
⚠️ This is a National Estimate
Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).
Code Description
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Local Estimate Demo
Pick a demo zip (or type yours) and choose the setting. Then jump into MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool to calculate your locality-adjusted estimate.
How is this calculated?
Here’s the transparent math behind the estimate for HCPCS Level II code V2106. For locality-adjusted results, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Methodology
This code is paid using: Fee Schedule (State-Specific).
Some items vary by state/locality and may not use RVU components. For local estimates, use the homepage tool.
Open MedFeeSchedule's Medicare Physician Fee Schedule Lookup ToolReimbursement Summary
The 2026 National Medicare reimbursement estimate for V2106 is $66.04. Actual payment can vary by locality, setting, and claim specifics.
Description: Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens. For locality-adjusted estimates, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Facility vs. Non-Facility (Office) Payment
Facility vs. non-facility pricing most commonly applies to physician services paid under the RVU-based Physician Fee Schedule. For V2106 (DMEPOS Equipment), the payment methodology may not include both facility and non-facility rates.
2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | ||
| Practice Expense (PE) | ||
| Malpractice (MP) | ||
| Total RVUs | 0.00 | 0.00 |
Historical Medicare Reimbursement
| Year | Non-Facility Rate | Facility Rate | Year-over-Year % Change |
|---|---|---|---|
| 2026 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2025 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2024 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2023 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
Historical trends and quarterly breakouts are launching as part of Pro. This preview shows where multi-year analytics will appear once the full dataset is available.
Pro includes historical graphs, deeper year ranges, and export tools. Learn more and join early access.
View Pro Plan (Coming Soon)Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for V2106?
The 2026 National Average Medicare reimbursement rate for V2106 (DMEPOS Equipment) is $66.04. This rate is effective as of January 1, 2026.
What is the description for code V2106?
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Why do facility and non-facility payments differ for V2106?
Facility vs. non-facility differences usually apply to RVU-based physician services. V2106 may not use both facility and non-facility pricing depending on its payment methodology.
How can I find my local Medicare rate for V2106?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is V2106 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.