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Alabama 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
$55.42 / $55.42 / $55.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.69 / $244.36 / $258.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.78 / $55.42 / $66.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.12 / $276.87 / $326.70
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.56 / $48.71 / $57.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.39 / $241.85 / $440.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.81 / $55.77 / $104.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.27 / $218.96 / $290.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $53.15 / $73.79