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New Hampshire rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $33.32 / $63.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.87 / $60.36 / $60.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $59.59 / $59.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $36.46 / $43.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.61 / $53.47 / $68.05