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

Oregon 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 $81 · 10th–90th $63$870%50%10th90th$81Professionalmedian $68 · 10th–90th $33$850%20%10th90th$68$20.0$50.0$100.0$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
Professional
Modifier
Global
Typical Low
$33.11
Median
$67.61
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$218.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$93.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$87.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$60.26