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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$250.00 / $325.05 / $600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.26 / $449.18 / $562.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.73 / $292.62 / $539.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.54 / $397.05 / $697.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.35 / $420.34 / $466.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.17 / $277.52 / $388.29