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Pennsylvania 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
$41.74 / $45.35 / $45.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.88 / $191.78 / $321.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.03 / $235.60 / $451.43
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
$167.83 / $277.19 / $446.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.38 / $358.67 / $473.26
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.35 / $45.35 / $45.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.41 / $214.29 / $637.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $252.52 / $510.74
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.38 / $52.38 / $61.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.83 / $279.80 / $447.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.69 / $45.69 / $72.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $181.63 / $237.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.57 / $232.67 / $390.48