go back

New Hampshire rates for HCPCS V2314

Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $58.82 / $105.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.97 / $172.00 / $172.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $61.92 / $61.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $105.20 / $105.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.16 / $64.36 / $77.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.34 / $96.07 / $122.28