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Nebraska 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
$195.14 / $550.00 / $700.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $195.49 / $1,323.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.17 / $904.19 / $1,697.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.27 / $379.75 / $404.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.68 / $1,120.68 / $1,120.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $451.25 / $588.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.49 / $355.87 / $575.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.41 / $420.66 / $1,349.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.77 / $452.19 / $787.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.77 / $457.30 / $613.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.86 / $420.66 / $539.29