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

Massachusetts 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 $87 · 10th–90th $60$1320%10%20%10th90th$87Professionalmedian $68 · 10th–90th $35$790%10%20%10th90th$68$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$63.10
Typical High
$77.62
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$131.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$63.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$79.43
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$131.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$53.70
Typical High
$79.43