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Kentucky rates for HCPCS 74713

Fetal Mri W/Placntl Matrnl Plvc Img Ea Addl Ges

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.96 / $738.00 / $900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.96 / $206.79 / $375.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $217.26 / $283.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.19 / $135.84 / $252.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $119.02 / $250.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.17 / $228.17 / $228.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.36 / $302.33 / $487.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $181.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.06 / $235.06 / $333.12