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

Utah 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 $76 · 10th–90th $39$1000%10%20%10th90th$76$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
$75.86
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$91.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$70.79