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New Hampshire rates for HCPCS V2101

Sphere Single Vision Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $22.59 / $39.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $66.06 / $66.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $40.40 / $40.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $24.71 / $29.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $40.25 / $63.52