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Michigan 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
$54.93 / $54.93 / $54.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.30 / $214.29 / $321.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $334.94 / $405.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.38 / $52.38 / $52.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.18 / $275.29 / $503.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.93 / $59.97 / $59.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.29 / $239.92 / $326.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $190.12 / $281.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.08 / $243.97 / $323.70