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New Hampshire rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $30.47 / $58.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $89.10 / $89.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $32.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $54.49 / $54.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $33.34 / $53.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.24 / $49.76 / $63.34