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 sphc trifocal 4.25-7/4.
Maple Grove, MN
See all hospitals reporting HCPCS V2309 →Price type
Fairview Maple Grove Surgery Center’s median price of $122 is 2% below the median hospital's median price ($125), higher than 48% of the 729 hospitals reporting HCPCS V2309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 18 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 | Blue Cross Blue Shield federal fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Medica ma non-snp fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Medica ma snp fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 8 | Medica prime solution fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 9 | Medica vantage fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 10 | Cigna commercial fee schedule · both | $137 | $137 | $12 | 9% | — | $125 – $149 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 12 | Medica bold fee schedule · both | $193 | $193 | — | — | — | $193 – $193 |
| 13 | Medica choice without / elect fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 15 | Medica choice with fee schedule · both | $221 | $221 | — | — | — | $221 – $221 |
| 16 | UnitedHealthcare commercial fee schedule · both | $223 | $223 | — | — | — | $223 – $223 |
| 17 | Ucare ifp fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 18 | Cigna commercial fee schedule · outpatient | $288 | $288 | $25 | 9% | — | $263 – $313 |
Last updated: May 18, 2026
See Trifocal eyeglass lens, high-power sphere and cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.