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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
$38.02 / $72.44 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $102.33
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18