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Washington 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
$71.36 / $95.55 / $152.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.83 / $307.16 / $597.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.39 / $66.23 / $126.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.60 / $242.19 / $242.19
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.96 / $604.42 / $2,434.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.23 / $115.07 / $442.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.45 / $449.38 / $920.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.50 / $96.58 / $162.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.37 / $120.15 / $762.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.72 / $483.96 / $679.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.80 / $116.18 / $149.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $308.73 / $777.80
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.45 / $105.19 / $106.53
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.54 / $79.56 / $117.00
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.56 / $71.56 / $72.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.58 / $608.10 / $790.14
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.48 / $122.44 / $149.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$513.03 / $513.03 / $838.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.96 / $511.14 / $720.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $104.13 / $140.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $427.14 / $745.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.22 / $87.79 / $154.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.66 / $377.66 / $377.66
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.35 / $57.35 / $57.35