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New Hampshire rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $6.36 / $11.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.60 / $18.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.38 / $11.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.96 / $8.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $11.32 / $17.86