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New Hampshire rates for HCPCS 92240

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

Facilitymedian $178 · 10th–90th $38$1780%50%10th$178Professionalmedian $288 · 10th–90th $178$5890%5%10%10th90th$288$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $707.95
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $39.81