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Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 2.25-4.00d

Arizona rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $40$1070%10%20%10th90th$71Professionalmedian $65 · 10th–90th $33$760%20%10th90th$65$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
Professional
Modifier
Global
Typical Low
$33.11
Median
$67.61
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$60.26