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South Carolina 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
$245.73 / $2,057.00 / $2,595.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $245.73 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.66 / $1,287.77 / $2,075.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.54 / $272.00 / $402.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.99 / $551.29 / $568.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.07 / $281.99 / $517.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.50 / $326.58 / $596.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.57 / $756.57 / $756.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.68 / $124.33 / $239.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.57 / $265.04 / $432.24