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South Carolina 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
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $53.70 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $467.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $64.57 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $371.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $60.26 / $91.20