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New Hampshire rates for HCPCS V2715

Prism, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.00 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $12.30
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77