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

Wisconsin 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 $83 · 10th–90th $65$2690%20%10th90th$83Professionalmedian $69 · 10th–90th $32$1150%10%20%10th90th$69$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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$67.61
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$120.23
Typical High
$158.49
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$83.18
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$154.88
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$128.82
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$83.18
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$229.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$416.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$125.89
Typical High
$467.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$102.33