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

Minnesota 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 $79 · 10th–90th $63$2510%20%10th90th$79Professionalmedian $72 · 10th–90th $43$980%10%20%10th90th$72$2.0$10.0$50.0$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
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$123.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$524.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$112.20