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Alaska rates for HCPCS 74712

Fetal Mri W/Placntl Matrnl Plvc Img Sing/1st Ges

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.13 / $1,028.13 / $1,028.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $2,015.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.82 / $1,247.79 / $1,534.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.16 / $448.16 / $2,882.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.18 / $1,206.21 / $2,663.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.75 / $1,766.70 / $2,977.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.16 / $537.79 / $2,882.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.77 / $1,575.00 / $2,928.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.91 / $1,440.80 / $2,390.41