Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Lens sphcy trifocal 4.0/.12-
Boulder, CO
See all hospitals reporting HCPCS V2303 →Price type
Boulder Community Health’s median price of $92 is 2% above the median hospital's median price ($90), higher than 58% of the 733 hospitals reporting HCPCS V2303. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $76 | $76 | $8 | 11% | — | $67 – $84 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Humana medicare advantage professional · fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $86 | $86 | $0 | 0% | — | $86 – $87 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $91 | $91 | — | — | — | $91 – $91 |
| 12 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 14 | Aetna commercial professional · fee schedule · both | $101 | $101 | $31 | 31% | — | $70 – $132 |
| 15 | Kaiser commercial professional · fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 16 | MultiPlan commercial professional · fee schedule · both | $130 | $130 | — | — | — | $130 – $130 |
| 17 | Phcs commercial professional · fee schedule · both | $130 | $130 | — | — | — | $130 – $130 |
| 18 | Kaiser commercial facility · case rate · outpatient | $184 | $184 | $22 | 12% | — | $162 – $206 |
| 19 | Kaiser managed care facility · case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
Last updated: Sep 16, 2026
See Trifocal eyeglass lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.