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New Hampshire rates for HCPCS V2750

Anti-Reflective Coating Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $10.44 / $18.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $30.55 / $30.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $18.69 / $18.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $11.43 / $13.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $18.60 / $29.36