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New Hampshire rates for HCPCS V2305

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $51.02 / $77.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.68 / $124.60 / $124.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $44.86 / $44.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.24 / $91.24 / $91.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $55.82 / $67.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $83.31 / $106.04