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South Carolina 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
$281.84 / $436.52 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $851.14 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $933.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $524.81 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,000.00 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $912.01