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

Texas 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 $74 · 10th–90th $58$1230%10%20%10th90th$74Professionalmedian $68 · 10th–90th $35$780%20%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$75.86
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$40.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$95.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$57.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$117.49