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North Carolina 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
$360.17 / $1,684.00 / $2,065.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.17 / $402.08 / $687.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.20 / $862.99 / $1,208.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.70 / $373.70 / $373.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.71 / $436.71 / $623.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.22 / $777.28 / $1,265.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.17 / $604.50 / $910.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $410.00 / $602.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $641.10 / $869.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.71 / $613.45 / $1,246.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.34 / $2,647.01 / $2,647.01
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.29 / $3,270.00 / $3,270.00