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Alaska rates for HCPCS 92240

Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.96 / $125.96 / $125.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.88 / $478.28 / $809.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.79 / $518.79 / $681.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.55 / $687.03 / $1,151.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.75 / $885.00 / $1,152.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.30 / $682.80 / $1,094.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.81 / $479.24 / $499.70