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Maine rates for HCPCS 74712

Fetal Mri W/Placntl Matrnl Plvc Img Sing/1st Ges

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.16 / $1,100.00 / $1,118.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $654.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.75 / $510.27 / $859.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.05 / $723.46 / $964.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.36 / $616.55 / $1,112.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.16 / $1,100.00 / $1,100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $600.00 / $942.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.85 / $655.84 / $1,194.23