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New Hampshire 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
$602.21 / $602.21 / $602.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.07 / $2,146.57 / $2,384.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.75 / $859.04 / $1,231.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.79 / $2,018.02 / $3,323.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.08 / $899.26 / $1,283.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.28 / $818.01 / $1,516.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.66 / $624.91 / $1,324.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.28 / $397.45 / $600.25