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

Oregon 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 $87 · 10th–90th $68$910%20%40%10th90th$87Professionalmedian $68 · 10th–90th $32$810%10%20%10th90th$68$20.0$50.0$100.0$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
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
$38.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$97.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$60.26