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Utah 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
$475.00 / $1,567.09 / $3,673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.52 / $481.36 / $1,122.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.00 / $686.40 / $728.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.66 / $592.84 / $1,201.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.58 / $206.27 / $395.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.22 / $480.81 / $793.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.61 / $728.91 / $973.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.32 / $456.67 / $799.19