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New Hampshire rates for HCPCS V2301

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $53.81 / $75.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.12 / $123.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.24 / $96.24 / $96.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $58.88 / $69.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $87.87 / $111.83