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Trifocal Lens, Sphere +/-4.12-7.00d

Nebraska rates for HCPCS V2301

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $74$1620%20%10th90th$93Professionalmedian $74 · 10th–90th $46$910%20%40%10th90th$74$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$123.03
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$72.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$45.71
Typical High
$72.44