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New Hampshire rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $126.71 / $185.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.14 / $282.77 / $282.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.61 / $226.61 / $226.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.42 / $138.63 / $167.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $127.93 / $226.41