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Missouri 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
$299.83 / $1,228.00 / $2,076.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $333.95 / $475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.97 / $260.55 / $433.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.41 / $444.29 / $587.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.84 / $295.95 / $475.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.75 / $399.11 / $785.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.70 / $293.45 / $1,349.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.83 / $266.56 / $442.97