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Tennessee 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
$335.20 / $626.82 / $1,667.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $335.20 / $499.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.97 / $317.48 / $511.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.29 / $480.92 / $673.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.43 / $300.00 / $500.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $2,647.01 / $2,647.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.26 / $1,349.26 / $1,679.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $257.52 / $447.32