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Arkansas 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
$66.29 / $66.29 / $121.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.87 / $258.44 / $597.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.75 / $62.17 / $106.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $291.20 / $323.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.18 / $74.36 / $82.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.70 / $273.64 / $338.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.34 / $68.16 / $86.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.16 / $242.16 / $429.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.87 / $55.58 / $98.81