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New Hampshire rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $35.21 / $60.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $100.41 / $100.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.96 / $62.96 / $62.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $38.52 / $46.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.28 / $57.51 / $73.19