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Virginia 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
$525.00 / $2,400.00 / $3,673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.98 / $439.25 / $623.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.95 / $1,581.94 / $1,928.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.87 / $484.78 / $826.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.20 / $577.42 / $819.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.71 / $1,506.49 / $2,021.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.60 / $610.41 / $1,100.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.12 / $475.34 / $582.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $562.69 / $861.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $410.00 / $790.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $343.14 / $672.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.34 / $462.39 / $726.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $572.27 / $865.37