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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
$24.36 / $27.91 / $52.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $81.62 / $81.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $49.92 / $49.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $30.54 / $48.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.45 / $49.74 / $78.51