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Vermont 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
Professional
Modifier
Low / Median / High Price
$375.00 / $425.00 / $522.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.88 / $684.73 / $1,819.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,937.75 / $2,937.75 / $2,937.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.91 / $663.56 / $1,819.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,937.75 / $2,937.75 / $2,937.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.91 / $663.56 / $1,819.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.48 / $736.62 / $1,935.90