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Indiana 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
$205.77 / $854.00 / $2,373.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.37 / $219.63 / $375.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.82 / $547.77 / $769.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $283.82 / $391.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.70 / $132.41 / $253.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $127.31 / $247.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.63 / $110.63 / $228.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.66 / $266.45 / $430.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.98 / $247.32 / $466.28