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South Carolina 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
$245.47 / $2,041.74 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $524.81 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $489.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $338.84 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $436.52