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 4.0/2.25
Isle, ME
See all hospitals reporting HCPCS V2304 →Price type
The Aroostook Medical Center’s median price of $87 is 6% below the median hospital's median price ($92), higher than 23% of the 730 hospitals reporting HCPCS V2304. 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, 13 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 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Aetna mcr advantage professional · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Anthem commercial professional · fee schedule · outpatient | $79 | $65 | $40 | 62% | — | $11 – $105 |
| 5 | Anthem enhanced pathways professional · fee schedule · outpatient | $79 | $65 | $40 | 62% | — | $11 – $105 |
| 6 | Anthem enhanced pathways facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 8 | Aetna mcr advantage facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Anthem mcr advantage facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 10 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 11 | WellCare mcr advantage facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 12 | Anthem commercial facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 13 | UnitedHealthcare commercial professional · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
Last updated: Mar 30, 2026
See Trifocal spherocylinder lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.