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

Minnesota 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 $79 · 10th–90th $62$2450%20%10th90th$79Professionalmedian $71 · 10th–90th $42$950%10%20%10th90th$71$2.0$10.0$50.0$200.0

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$123.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$524.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.02
Typical High
$100.00