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New Hampshire rates for HCPCS V2109

Spherocylinder Single Vision Plus Or Minus 4.25 To Plus Or Minus 7.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $27.13 / $52.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $79.34 / $79.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $48.52 / $48.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $29.69 / $35.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $44.34 / $56.43