go back

Massachusetts 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
$204.06 / $325.05 / $2,072.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $325.05 / $600.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.15 / $818.35 / $2,647.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.52 / $320.14 / $1,349.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.03 / $551.42 / $929.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.98 / $1,037.83 / $1,224.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.98 / $335.39 / $682.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.64 / $264.64 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $185.25 / $357.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.64 / $466.73 / $648.04
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.04 / $299.04 / $299.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $2,647.01 / $2,647.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.18 / $320.14 / $1,349.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.99 / $303.08 / $535.44