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Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d

Hawaii rates for HCPCS V2305

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

Rates data updated July 2026.

Professionalmedian $55 · 10th–90th $39$910%20%10th90th$55$20.0$50.0$100.0

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
$38.90
Median
$54.95
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$44.67
Typical High
$120.23