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Florida 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
$250.00 / $1,645.00 / $2,235.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $274.31 / $494.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.81 / $228.17 / $630.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.28 / $260.60 / $493.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.15 / $230.48 / $242.61
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.83 / $244.20 / $348.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $125.64 / $247.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $196.10 / $412.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.34 / $131.34 / $131.34