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New Hampshire rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $46.77 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $53.70
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65