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New Mexico 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
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $51.29 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $199.53 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $69.18 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $575.44
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $70.79 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $478.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $81.28 / $112.20