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South Carolina 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
$281.05 / $310.25 / $2,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.17 / $439.25 / $557.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.09 / $1,263.08 / $2,055.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.56 / $497.00 / $761.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.01 / $1,216.36 / $1,242.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.01 / $576.85 / $1,059.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $595.53 / $896.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $1,325.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.28 / $248.65 / $478.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.42 / $576.85 / $899.56