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

Hawaii 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 October 2026.

How much does Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 2.25-4.00d cost?

$107

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $107 to $120.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $107 · 10th to 90th $40 to $120
$20$50$100professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$60.26
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$107.15
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$107.15
Typical High
$120.23

Where Hawaii sits

The same service costs 2.7 times more in Hawaii than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$107

HI $107OH $39.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.