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Louisiana 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
$440.00 / $800.00 / $1,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.33 / $550.00 / $728.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.73 / $469.09 / $702.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.28 / $552.54 / $677.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.09 / $392.07 / $2,361.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.27 / $264.27 / $264.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.47 / $465.73 / $813.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.70 / $495.13 / $778.16