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See a sample rate comparisonHCPCS V2430 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Variable asphericity lens, bifocal, full field, glass or plastic, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Aspherical and Variable Sphericity |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V2430 |
National average reimbursement for HCPCS V2430 by major payers:
$123.92
$79.12
$107.94
$163.81
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HCPCS V2430
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$329.04Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$94.76Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$66.98Published rateColquitt Regional Medical Center
$60.84Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$43.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2430 vs. Other Lenses, Aspherical and Variable Sphericity Codes
The HCPCS V2430 code is part of the Vision Services services used for Lenses, Aspherical and Variable Sphericity. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V2430 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V2410-HCPCS | Low | Variable asphericity lens, single vision, full field, glass or plastic, per lens |
| V2430-HCPCS | Low | Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
| V2499-HCPCS | Moderate | Variable sphericity lens, other type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2430 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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