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Maine 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
$602.79 / $1,100.00 / $1,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.34 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.48 / $286.41 / $418.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.56 / $349.47 / $475.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.38 / $300.10 / $541.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.16 / $1,100.00 / $1,100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.97 / $425.00 / $1,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.24 / $326.39 / $541.49