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New Hampshire rates for HCPCS V2744

Tint Photochromatic Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.98 / $14.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $26.26 / $26.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.05 / $16.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $9.82 / $11.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $16.00 / $25.25