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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
$20.89 / $41.69 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.70 / $45.71
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15