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Ohio 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
$210.93 / $734.82 / $1,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $250.00 / $525.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $366.53 / $418.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $245.62 / $454.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.89 / $123.61 / $273.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $110.90 / $202.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.29 / $228.17 / $700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.06 / $281.47 / $475.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.29 / $228.17 / $700.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.24 / $276.42 / $468.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $131.01 / $248.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.43 / $241.43 / $433.69