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

Tennessee 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 $468 · 10th–90th $468$4680%50%100%$468Professionalmedian $68 · 10th–90th $35$780%20%40%10th90th$68$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$52.48