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Alaska rates for HCPCS 92242

Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.60 / $147.60 / $147.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $252.81 / $647.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.80 / $60.34 / $155.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.84 / $483.65 / $883.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.68 / $122.48 / $187.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.66 / $943.23 / $1,709.35
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.38 / $155.25 / $447.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.40 / $1,138.05 / $1,439.10
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.00 / $214.65 / $296.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.58 / $768.00 / $1,248.06
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.65 / $231.00 / $296.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.43 / $567.00 / $663.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.58 / $150.13 / $156.22