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Oklahoma 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
$410.00 / $743.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $394.05 / $612.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.72 / $1,159.06 / $1,678.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.44 / $427.35 / $586.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.95 / $278.95 / $278.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.61 / $416.25 / $701.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.57 / $608.83 / $1,035.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.54 / $480.71 / $2,369.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.11 / $1,882.11 / $2,117.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.54 / $480.71 / $893.89