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New Hampshire rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $25.36 / $42.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.28 / $67.87 / $67.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.35 / $45.35 / $45.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $27.74 / $32.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $43.99 / $69.43