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North Carolina 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
$205.59 / $498.59 / $2,654.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $245.73 / $600.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.30 / $221.30 / $221.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.17 / $228.17 / $264.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $375.25 / $615.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.59 / $331.39 / $507.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $174.00 / $291.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.10 / $306.39 / $1,412.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.73 / $322.04 / $620.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.78 / $2,647.01 / $2,647.01
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.26 / $1,679.10 / $1,679.10