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New Hampshire rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.67 / $23.69 / $44.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.63 / $69.25 / $69.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.35 / $42.35 / $42.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $25.91 / $31.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $42.18 / $66.56