Eye imaging with indocyanine green dye

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Icg Angiography Uni/Bi

Payers reporting CPT 92240

Payer pricing summary

Low

$107

Average

$373

Median

$321

High

$940

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +29 other terms	386	$270	$412	$697	169%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	329	$414	$708	$1.3k	184%	—	$1 – $15.6k
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	315	$287	$311	$396	128%	—	$1 – $9.2k
4	Humana fee schedule · outpatient · +25 other terms	286	$302	$452	$605	134%	—	$1 – $8.3k
5	Cigna fee schedule · outpatient · +21 other terms	151	$265	$327	$237	72%	—	$63 – $1.4k
6	Molina fee schedule · outpatient · +22 other terms	129	$306	$255	$124	49%	—	$1 – $585
7	WellCare fee schedule · outpatient · +15 other terms	126	$292	$293	$138	47%	—	$49 – $730
8	Anthem fee schedule · outpatient · +20 other terms	93	$414	$360	$397	110%	—	$27 – $2.4k
9	Ambetter facility · fee schedule · outpatient · +11 other terms	76	$459	$573	$727	127%	—	$234 – $7.1k
10	Devoted fee schedule · outpatient · +9 other terms	68	$239	$256	$56	22%	—	$190 – $345
11	Kaiser fee schedule · outpatient · +13 other terms	61	$313	$433	$327	76%	—	$100 – $2.2k
12	Oscar fee schedule · outpatient · +17 other terms	48	$405	$317	$170	54%	—	$1 – $617
13	Optum fee schedule · outpatient · +17 other terms	47	$208	$278	$137	49%	—	$190 – $797
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$585	$551	$223	40%	—	$189 – $1.1k
15	Caresource fee schedule · outpatient · +10 other terms	30	$155	$157	$91	58%	—	$1 – $369
16	Clover fee schedule · outpatient · +7 other terms	26	$340	$298	$62	21%	—	$195 – $367
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$274	$273	$55	20%	—	$206 – $358
18	Tricare fee schedule · outpatient · +12 other terms	24	$213	$228	$39	17%	—	$169 – $299
19	Regence facility · fee schedule · outpatient · +8 other terms	21	$231	$392	$299	76%	—	$219 – $1.1k
20	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$228	$224	$5	2%	—	$217 – $228
21	Aetna Better Health fee schedule · outpatient · +14 other terms	20	$148	$166	$77	47%	—	$42 – $292
22	Medicare fee schedule · outpatient · +10 other terms	20	$190	$187	$25	13%	—	$163 – $273
23	MultiPlan fee schedule · outpatient · +16 other terms	20	$503	$459	$96	21%	—	$244 – $503
24	Highmark fee schedule · outpatient · +8 other terms	19	$227	$233	$150	64%	—	$30 – $1.5k
25	Cigna Healthspring fee schedule · outpatient · +7 other terms	17	$311	$278	$51	18%	—	$199 – $327

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