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

Missouri 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 $78 · 10th–90th $58$1380%20%10th90th$78Professionalmedian $63 · 10th–90th $35$780%20%10th90th$63$1.0$5.0$20.0$100.0$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
$35.48
Median
$67.61
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$61.66