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New Hampshire rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $107.15 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $165.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90