go back

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

Montana 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 $68$1070%50%10th90th$87Professionalmedian $69 · 10th–90th $45$870%20%40%10th90th$69$20.0$50.0$100.0

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
$57.54
Median
$69.18
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$107.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$107.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$60.26