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Arizona 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
$487.00 / $990.00 / $1,772.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.75 / $475.00 / $658.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.41 / $902.43 / $1,500.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.19 / $467.65 / $584.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $436.71 / $607.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.93 / $560.55 / $1,012.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.94 / $512.35 / $2,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.03 / $436.45 / $2,369.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.03 / $436.45 / $880.75