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New Hampshire rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $42.66 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $46.77
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02