go back

North Dakota 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
$231.28 / $231.28 / $349.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $231.28 / $475.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.80 / $490.91 / $514.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.17 / $228.17 / $228.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.40 / $385.07 / $538.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.28 / $342.11 / $600.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.14 / $445.28 / $1,349.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.14 / $445.28 / $580.99