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-
Pittsfield, ME
See all hospitals reporting HCPCS V2303 →Price type
Sebasticook Valley Health’s median price of $75 is 16% below the median hospital's median price ($90), higher than 7% 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: 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 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Anthem commercial professional · fee schedule · outpatient | $75 | $62 | $38 | 62% | — | $10 – $100 |
| 4 | Anthem enhanced pathways professional · fee schedule · outpatient | $75 | $62 | $38 | 62% | — | $10 – $100 |
| 5 | Anthem enhanced pathways facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 8 | UnitedHealthcare commercial professional · fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
Last updated: Mar 30, 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.