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New Hampshire rates for HCPCS V2523

Contact Lens Hydrophilic Extended Wear Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $106.49 / $148.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.34 / $240.98 / $240.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $86.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $190.45 / $190.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $116.51 / $138.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $107.52 / $190.28