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

Montana 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 $81 · 10th–90th $63$1000%50%10th90th$81Professionalmedian $74 · 10th–90th $45$810%50%10th90th$74$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$100.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$57.54