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Nebraska 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
$349.45 / $550.00 / $4,472.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.45 / $349.45 / $2,193.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.17 / $904.19 / $1,697.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.88 / $702.13 / $723.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.04 / $2,072.04 / $2,072.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.73 / $835.45 / $1,214.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.45 / $663.96 / $2,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.49 / $864.63 / $2,369.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.99 / $792.88 / $1,397.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.02 / $835.45 / $1,119.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.08 / $854.43 / $1,108.50