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Michigan 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
$460.69 / $1,914.16 / $2,481.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.52 / $460.69 / $603.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.42 / $648.16 / $1,126.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.53 / $588.04 / $688.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.71 / $436.71 / $436.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.92 / $604.09 / $1,128.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.05 / $2,078.28 / $2,481.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.05 / $444.09 / $685.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $232.53 / $444.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.23 / $502.35 / $721.07