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Alaska rates for HCPCS 74712

Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $2,137.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,778.28 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,454.71