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.
Pittsfield, ME
See all hospitals reporting HCPCS V2301 →Price type
Sebasticook Valley Health’s median price of $90 is 16% below the median hospital's median price ($107), higher than 6% 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: 4 payers, 8 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 | Cigna commercial professional · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Anthem commercial professional · fee schedule · outpatient | $90 | $74 | $46 | 62% | — | $12 – $120 |
| 4 | Anthem enhanced pathways professional · fee schedule · outpatient | $90 | $74 | $46 | 62% | — | $12 – $120 |
| 5 | Anthem enhanced pathways facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 8 | UnitedHealthcare commercial professional · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
Last updated: Mar 30, 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.