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Wisconsin 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

Facilitymedian $162 · 10th–90th $50–$2820%20%10th90th$162Professionalmedian $229 · 10th–90th $52–$6460%5%10%10th90th$229$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $288.40 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $57.54 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $371.54 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $77.62 / $162.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $165.96 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $575.44 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $109.65 / $144.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $676.08 / $912.01
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $151.36
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $91.20 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $851.14
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $107.15 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $741.31 / $1,122.02
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $338.84 / $338.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,348.96 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $269.15 / $338.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $83.18 / $162.18