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Missouri 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
$41.45 / $46.45 / $46.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $229.64 / $555.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.45 / $53.46 / $148.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.56 / $243.51 / $458.32
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.56 / $59.98 / $106.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.41 / $60.41 / $60.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.29 / $331.59 / $537.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.95 / $76.83 / $120.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.35 / $242.19 / $242.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.71 / $272.01 / $1,659.46
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.44 / $63.90 / $337.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.19 / $254.27 / $432.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.25 / $61.60 / $118.65