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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
$79.43 / $154.88 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $223.87
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97