go back

New Hampshire rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $40.95 / $66.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.01 / $107.53 / $107.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $73.23 / $73.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $44.80 / $54.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $66.86 / $85.09