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 4.0/4.25
Isle, ME
See all hospitals reporting HCPCS V2305 →Price type
The Aroostook Medical Center’s median price of $108 is 3% below the median hospital's median price ($112), higher than 40% of the 727 hospitals reporting HCPCS V2305. 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 | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 3 | Aetna mcr advantage professional · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Anthem commercial professional · fee schedule · outpatient | $91 | $75 | $46 | 62% | — | $12 – $122 |
| 5 | Anthem enhanced pathways professional · fee schedule · outpatient | $91 | $75 | $46 | 62% | — | $12 – $122 |
| 6 | Anthem enhanced pathways facility · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Aetna mcr advantage facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 9 | Anthem mcr advantage facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 11 | WellCare mcr advantage facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Anthem commercial facility · fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 13 | UnitedHealthcare commercial professional · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
Last updated: Mar 30, 2026
See Trifocal eyeglass lens with specified power range pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.