go back

Delaware 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
$224.25 / $263.25 / $425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $425.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.80 / $225.80 / $225.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $260.57 / $410.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.11 / $256.45 / $512.72