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New Hampshire rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $30.06 / $53.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $82.77 / $82.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $53.76 / $53.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $32.89 / $52.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $53.54 / $84.51