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New Hampshire rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.37 / $705.22 / $1,148.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,310.00 / $2,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.14 / $1,261.14 / $1,261.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.34 / $771.56 / $930.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.35 / $1,240.03 / $1,814.70