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New Hampshire rates for HCPCS V2303

Spherocylinder, trifocal, 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
$30.90 / $57.54 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $75.86
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66