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Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 0.12-2.00d

Alaska rates for HCPCS V2303

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $62$1000%50%10th90th$93Professionalmedian $71 · 10th–90th $32$1000%20%10th90th$71$20.0$100.0$500.0$2.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$31.62
Median
$67.61
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$114.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$100.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$38.02
Typical High
$56.23