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North Dakota 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
$383.20 / $383.20 / $678.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.45 / $389.74 / $525.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.31 / $1,008.61 / $1,057.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.71 / $436.71 / $436.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.38 / $794.87 / $1,108.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $600.00 / $819.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.71 / $921.12 / $2,369.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.71 / $872.64 / $1,202.17