go back

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
$66.07 / $66.07 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $288.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $56.23 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $67.61 / $100.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $54.95 / $95.50