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Wyoming 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
$378.79 / $378.79 / $394.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.52 / $475.00 / $579.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.00 / $1,799.00 / $3,323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.54 / $685.66 / $1,246.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.32 / $927.77 / $1,490.51