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

North Carolina 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 $62$1070%20%10th90th$78Professionalmedian $71 · 10th–90th $35$890%20%10th90th$71$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$100.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$50.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$776.25