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Minnesota 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
$59.07 / $59.07 / $59.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.56 / $252.81 / $360.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.33 / $59.07 / $77.40
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.78 / $45.78 / $45.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.31 / $815.36 / $988.92
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.01 / $153.79 / $186.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.68 / $189.92 / $456.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.73 / $875.96 / $1,363.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.02 / $141.62 / $221.70
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.45 / $173.31 / $359.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.99 / $883.67 / $1,288.30
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.76 / $142.79 / $208.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $430.38 / $1,659.46
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $102.83 / $337.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $399.56 / $748.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $89.95 / $167.62