go back

Tennessee 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
$50.82 / $52.37 / $134.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.48 / $244.36 / $463.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.50 / $53.46 / $84.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $285.86 / $436.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.80 / $73.23 / $110.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.41 / $60.41 / $72.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.84 / $284.45 / $493.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.35 / $66.06 / $120.73
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.35 / $268.99 / $268.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.46 / $1,659.46 / $2,730.98
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$337.70 / $337.70 / $432.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.45 / $257.95 / $470.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.02 / $62.02 / $117.61