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New Hampshire rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $40.47 / $65.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.60 / $118.38 / $118.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $72.40 / $72.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $44.29 / $53.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.11 / $66.12 / $84.15