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

Nebraska 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 $83 · 10th–90th $66$1450%20%10th90th$83Professionalmedian $68 · 10th–90th $41$740%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$97.72
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$63.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$40.74
Typical High
$70.79