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Maine 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
Professional
Modifier
Low / Median / High Price
$225.83 / $252.81 / $555.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.46 / $60.34 / $84.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $339.62 / $493.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.75 / $65.62 / $101.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.01 / $370.38 / $734.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.70 / $82.66 / $150.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.66 / $482.14 / $869.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.95 / $79.37 / $143.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.83 / $268.99 / $555.12
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.46 / $60.71 / $85.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $323.57 / $577.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $78.58 / $117.52