go back

Wisconsin rates for HCPCS 92242

Fluorescein&Icg Angrph Multiframe Img I&R Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.17 / $50.17 / $201.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.63 / $291.27 / $1,030.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.87 / $59.07 / $100.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.56 / $423.02 / $775.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.90 / $89.97 / $168.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.28 / $167.43 / $222.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.11 / $564.54 / $773.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.35 / $107.82 / $132.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$242.19 / $242.19 / $242.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $427.55 / $1,659.46
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.48 / $103.50 / $337.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.67 / $222.88 / $596.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.08 / $749.70 / $1,069.20
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.47 / $242.19 / $242.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.64 / $1,210.82 / $1,659.46
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.12 / $271.35 / $337.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.30 / $990.96 / $990.96
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.95 / $85.84 / $105.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $398.20 / $728.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.09 / $99.02 / $173.68