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New Hampshire rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $90.35 / $130.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.49 / $198.13 / $198.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.56 / $161.56 / $161.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $98.84 / $117.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $147.54 / $187.78