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New Mexico 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
$194.20 / $1,558.28 / $1,558.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $700.00 / $700.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.95 / $283.95 / $283.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.28 / $287.27 / $399.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $108.68 / $239.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.96 / $333.37 / $533.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.39 / $350.58 / $504.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.64 / $233.14 / $515.08