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Nebraska 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
$51.43 / $51.43 / $51.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.63 / $252.60 / $601.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.43 / $60.34 / $190.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $408.02 / $566.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.14 / $82.93 / $111.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.79 / $537.87 / $722.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.43 / $113.86 / $139.58
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$242.19 / $242.19 / $242.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.49 / $434.44 / $1,659.46
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.76 / $104.15 / $337.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.71 / $525.09 / $652.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $292.27 / $564.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.49 / $456.80 / $598.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.76 / $104.15 / $131.01