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Illinois 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
$537.03 / $1,548.82 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,737.80 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $478.63 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $933.25 / $2,951.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $199.53 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $851.14