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Maryland 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
$425.00 / $425.00 / $1,727.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $425.00 / $1,139.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.61 / $577.42 / $733.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.38 / $137.38 / $137.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.56 / $595.79 / $1,128.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.24 / $503.30 / $804.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.95 / $485.04 / $866.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.08 / $439.41 / $571.23