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New Hampshire rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $46.71 / $67.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.32 / $121.16 / $121.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $83.53 / $83.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $51.10 / $81.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.68 / $75.55 / $96.15