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New Hampshire rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $18.62 / $35.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $54.42 / $54.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $33.28 / $33.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $20.36 / $24.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.65 / $33.18 / $52.37