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 sphere trifocal 4.12-7.
Grayling, MI
See all hospitals reporting HCPCS V2301 →Price type
Munson Healthcare Grayling’s median price of $126 is 17% above the median hospital's median price ($107), higher than 69% of the 731 hospitals reporting HCPCS V2301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Aetna commercial professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
Last updated: Apr 17, 2026
See Trifocal spectacle lens, sphere power ±4.12 to ±7.00 diopters, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.