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Wyoming 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
Professional
Modifier
Low / Median / High Price
$205.87 / $252.81 / $360.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.75 / $59.63 / $71.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.00 / $505.00 / $505.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $95.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.76 / $339.69 / $641.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.51 / $90.31 / $138.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $425.28 / $704.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.41 / $103.93 / $172.69