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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$225.83 / $242.16 / $340.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.39 / $58.01 / $66.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $423.57 / $619.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.75 / $69.70 / $101.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.54 / $428.16 / $780.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.53 / $96.04 / $144.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.93 / $639.66 / $1,185.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.25 / $102.49 / $195.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $363.73 / $574.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $79.03 / $132.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.12 / $224.33 / $338.79
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.96 / $50.29 / $72.45