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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
$549.54 / $891.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $630.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $389.05 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $380.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $758.58