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Trifocal Lens, Sphere +/-4.12-7.00d

Wisconsin 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 $105 · 10th–90th $78$3470%20%10th90th$105Professionalmedian $81 · 10th–90th $38$1480%10%10th90th$81$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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$77.62
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$151.36
Typical High
$204.17
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$104.71
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$162.18
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$104.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$275.42
Quartz
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$501.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$158.49
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$169.82