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Arizona 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
$487.00 / $1,238.00 / $1,772.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.32 / $375.00 / $475.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $412.67 / $686.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.88 / $241.01 / $301.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.17 / $228.17 / $292.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $272.17 / $488.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.87 / $375.00 / $2,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.64 / $210.01 / $1,349.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.64 / $210.01 / $438.27