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Louisiana 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
$330.73 / $800.00 / $1,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.89 / $550.00 / $550.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.05 / $279.88 / $392.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.26 / $299.43 / $392.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.85 / $177.85 / $191.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.63 / $110.63 / $110.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $226.85 / $398.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.42 / $240.18 / $369.71