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New Hampshire rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.84 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.92 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $26.92 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $24.55 / $51.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80