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New Hampshire rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $26.76 / $47.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.12 / $72.83 / $72.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $47.87 / $47.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $29.28 / $46.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $47.65 / $75.20