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Montana rates for HCPCS 92240

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.09 / $223.22 / $1,090.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $72.56 / $296.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.56 / $72.56 / $86.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.20 / $296.55 / $445.56
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.56 / $72.56 / $86.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.04 / $333.47 / $461.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.19 / $340.47 / $403.84