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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
$30.90 / $60.26 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $67.61
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95