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West 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
$349.98 / $349.98 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.98 / $400.00 / $522.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.79 / $282.83 / $489.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.53 / $161.53 / $161.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.01 / $436.71 / $1,506.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.47 / $703.69 / $1,830.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.74 / $580.60 / $1,009.49