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Oklahoma 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
$281.75 / $743.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $250.00 / $349.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.17 / $117.17 / $117.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.58 / $203.40 / $342.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.51 / $347.96 / $1,035.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.15 / $241.80 / $1,349.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.15 / $233.14 / $414.14