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New Hampshire rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $33.72 / $61.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $93.56 / $93.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $60.31 / $60.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $36.90 / $43.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.09 / $60.11 / $94.87