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Montana 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

Facilitymedian $83 · 10th–90th $83–$1000%20%40%90th$83Professionalmedian $224 · 10th–90th $54–$4790%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $61.66 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $323.59 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $75.86 / $144.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $741.31
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $100.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $630.96 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $75.86 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $436.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $87.10 / $104.71