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New Hampshire rates for HCPCS V2631

Iris Supported Intraocular Lens (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $106.06 / $498.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.52 / $142.87 / $142.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.50 / $116.50 / $116.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $71.27 / $95.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.03 / $104.53 / $133.04