Dye-based blood vessel imaging, two tests, unscheduled

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

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

Payers reporting CPT 92242

Payer pricing summary

Low

$123

Average

$413

Median

$357

High

$2.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +30 other terms	386	$278	$413	$621	150%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	320	$440	$571	$412	72%	—	$0 – $2.7k
3	UnitedHealthcare fee schedule · outpatient · +30 other terms	298	$294	$353	$411	116%	—	$1 – $9.2k
4	Humana fee schedule · outpatient · +24 other terms	286	$302	$442	$372	84%	—	$1 – $1.6k
5	Cigna fee schedule · outpatient · +21 other terms	157	$289	$348	$146	42%	—	$78 – $1.4k
6	WellCare fee schedule · outpatient · +15 other terms	125	$292	$299	$130	43%	—	$55 – $730
7	Molina fee schedule · outpatient · +22 other terms	123	$310	$274	$127	46%	—	$1 – $585
8	Anthem fee schedule · outpatient · +20 other terms	97	$442	$451	$503	112%	—	$51 – $3.4k
9	Devoted fee schedule · outpatient · +9 other terms	68	$271	$265	$51	19%	—	$201 – $345
10	Ambetter facility · fee schedule · outpatient · +16 other terms	64	$384	$591	$781	132%	—	$234 – $7.1k
11	Kaiser fee schedule · outpatient · +10 other terms	61	$313	$452	$320	71%	—	$113 – $2.2k
12	Oscar fee schedule · outpatient · +16 other terms	48	$405	$338	$168	50%	—	$1 – $617
13	Optum fee schedule · outpatient · +17 other terms	42	$271	$308	$132	43%	—	$196 – $797
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$641	$605	$252	42%	—	$209 – $1.2k
15	Caresource fee schedule · outpatient · +10 other terms	29	$309	$600	$342	57%	—	$1 – $906
16	Clover fee schedule · outpatient · +7 other terms	26	$340	$298	$62	21%	—	$195 – $367
17	Medicare fee schedule · outpatient · +9 other terms	21	$271	$252	$19	8%	—	$213 – $277
18	Regence facility · fee schedule · outpatient · +7 other terms	21	$231	$392	$299	76%	—	$219 – $1.1k
19	Highmark fee schedule · outpatient · +7 other terms	18	$299	$299	$121	40%	—	$35 – $760
20	Aetna Better Health facility · fee schedule · outpatient · +13 other terms	16	$246	$313	$117	37%	—	$118 – $497
21	First Health fee schedule · outpatient · +10 other terms	16	$225	$288	$133	46%	—	$225 – $726
22	Tricare facility · fee schedule · outpatient · +11 other terms	16	$268	$766	$1.5k	190%	—	$210 – $5.7k
23	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$206	$261	$162	62%	—	$111 – $812
24	MultiPlan fee schedule · outpatient · +17 other terms	15	$503	$496	$38	8%	—	$292 – $503
25	Ucare case rate · outpatient · +9 other terms	15	$327	$322	$6	2%	—	$312 – $327

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