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Michigan 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
$144.54 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $281.84 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $645.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $436.52 / $512.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $478.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $120.23 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $371.54