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Washington, DC 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
$400.00 / $932.00 / $2,599.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $425.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.36 / $279.29 / $304.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.24 / $1,338.66 / $1,339.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.83 / $337.73 / $932.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.31 / $247.62 / $476.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.97 / $218.70 / $734.12