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Connecticut 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
$676.08 / $933.25 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $707.95 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,412.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $645.65
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,288.25