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North Dakota 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
$55.39 / $55.39 / $55.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.83 / $250.48 / $291.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.75 / $55.39 / $60.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.34 / $735.71 / $824.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.30 / $129.83 / $135.69
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
$227.28 / $499.86 / $889.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $95.84 / $156.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.12 / $458.40 / $1,659.46
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.14 / $107.92 / $337.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.12 / $430.38 / $583.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $95.23 / $131.84