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New Hampshire rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $116.34 / $167.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.15 / $255.13 / $255.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.05 / $208.05 / $208.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.26 / $127.28 / $153.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $207.28 / $304.70