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Alaska rates for HCPCS 74713

Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.03 / $579.03 / $579.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.32 / $1,135.10 / $1,135.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.17 / $611.41 / $743.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.88 / $234.88 / $1,623.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.25 / $587.20 / $1,322.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.25 / $858.00 / $1,443.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.88 / $281.86 / $1,623.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.27 / $765.00 / $1,417.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.14 / $853.50 / $1,180.02